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kgb deals Merchant Order Form Where applicable, all terms used in this Merchant Order Form shall have the same meaning as in the kgb deals Merchant Terms and Conditions. 1.

Order Details Order Number kgb Salesperson

2.

………………………………

LUCINDA ANDERSON HUGHES-Washington, D.C.

Merchant Details

Beryl's Cake Decorating & Pastry Supplies N. Springfield, Va. 22151

Name

3.

1-800-488-2749

Telephone

...

Fax number

.....703 750 3779................................................................

Email

beryls@beryls.com.................................

Website

.

www.beryls.com........................................................................

Deal Details a. Merchant product/services to be featured 2 for 1 “I Can’t Believe It’s Chocolate “ small group Class ” making chocolate flowers”: 2 people for $80; regularly $80 each. *** $40 for “I Can’t Believe It’s Chocolate” small group Class”making chocolate flowrs” , regular price $80

Merchant product/services standard retail price

80 $ ………………….

c. Discount on retail price (b) to be offered to Customer

................................50.......%

d. Percentage of discounted price to be remitted to Merchant

...................................55......%

e. Expiration Date (must be after target coupon issue date in (h)) f. Do any additional deal-specific terms and conditions apply? g. Target date(s) on which Merchant product/services to be featured (NOTE: as per attached kgb deals Merchant Terms and Conditions, at kgb’s discretion) 4.

...Expires Feb. 28, 2011.........................................… Yes

…October 2010… ………….

Merchant Declaration I hereby confirm the following: (i) The information provided by me to kgb is accurate and complete; and (ii) I am authorized on behalf of the Merchant to place the Order specified above; (iii) I have reviewed kgb’s “kgb deals Merchant Terms and Conditions” (attached) and confirm that the Merchant agrees to be bound by the same; and (iv) I authorize kgb to offer, sell and distribute the Coupon on the terms and conditions set forth herein and in the kgb Merchant Terms and Conditions. Signed

Beryl Loveland……………………………….

Date

…27 September 2010……………………………….

Position …Owner………………………………. AGREED AND ACKNOWLEDGED

Annex 1 – Deal-specific Terms and Conditions (To be completed by Merchant only where additional deal-specific terms and conditions apply) 1. 2. 3. 4. kgb USA, Inc. ° 655 Madison Ave., 3d Floor, NY, NY 10017 ° Phone: (212) 909-8282 ° Fax: (212) 909-8283


kgb deals Merchant Order Form

kgb USA, Inc. 째 655 Madison Ave., 3d Floor, NY, NY 10017 째 Phone: (212) 909-8282 째 Fax: (212) 909-8283


kgb deals Merchant Order Form

kgb USA, Inc. 째 655 Madison Ave., 3d Floor, NY, NY 10017 째 Phone: (212) 909-8282 째 Fax: (212) 909-8283

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