CUSTOMER ORDER FORM
Customer Name: Date:
Phone: Fax: Order No.:
Ship to
(Address):		 Special
Instruction:
NIKKEN PHILIPPINES, INC.
 JMT Corporate Condominium, Suite 10B 27 ADB Avenue, Ortigas Center, Pasig City, Metro Manila
Tel No.: (632)  633.8734     FAX: (632)  634.6269   or   (632)  637.0193
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ITEM PRODUCT QTY PRICE EXTENDED PRICE ITEM PRODUCT QTY PRICE EXTENDED PRICE
SLEEP SYSTEM PIMAG WATER SYSTEM
1225  Ultra Kenko  Pad TW 30,286.00 1307  Optimizer Ring 4,001.00
1226  Ultra Kenko  Pad FU 38,051.00 1359  Optimizer II 26,319.00
1227  Ultra Kenko  Pad QN 45,815.00 1312  Magna  Charger 4,215.00
1228  Ultra Kenko  Pad KG 53,580.00 1315  Water Filter  Set 13,790.00
1230  Ultra Kenko  Pad DM 30,286.00 1317  Carbon  Filter 3,830.00
1145  Dream Light  TW 37,198.00 1318  Pi Filter 6,384.00
1146  Dream Light  FU 49,658.00 1319  UF Filter 5,108.00
1147  Dream Light  QN 61,763.00 1351  Fliptop Bottle 2,726.00
1148  Dream Light  KG 74,291.00 1325  Magna Tote 3,945.00
1055  Dream DLX
 TW		 70,789.00 1326  Magna Tote- 3+1 PK 11,834.00
1056  Dream DLX
 FU		 88,953.00 1341  Fliptop Bottle- 3+1 PK 8,180.00
1057  Dream DLX
 QN		 107,029.00 1348  Bottle+Magna  Tote 5,670.00
1058  Dream DLX
 KG		 132,371.00 1385  Aqua Pour SLV Stones
1,138.00
COMFORTER 1386  Aqua Pour Mineral Stones 1,600.00
1360  Pimag Aqua  Pour 13,875.00
1252  KT Comforter  F/Q 26,450.00 1361  Aqua Pour  Filter 1,365.00
1253  KT Comforter  KG 33,231.00 1364  Aqua Pour  Ceramic Pre- Filter 1,365.00
1264  Dream  Comforter TW 25,928.00 1371  Aqua Pour  +Optimizer 34,165.00
AIR
1264  Dream  Comforter TW 25,928.00 1390  Air Wellness  Power 5 38,860.00
1265  Dream  Comforter  F/Q 33,343.00 1389  Power 5 Filter  PK 8,738.00
1266  Dream  Comforter  KG 40,939.00          
SPECIALTY
1300  Kenko Pillow  RG 7,509.00 5400  Biobeam 21 II 99,129.00
1301  Kenko Pillow  KG 8,191.00 5401  Biobeam  Single 59,468.00
1305  Dream Pillow 8,981.00 1408  Kenko Seat  Plus RG 9,390.00
1682  Sleep Mask 4,336.00 1409  Kenko Seat  Plus KG 12,000.00
SLEEP SYSTEM SET
8600  TW Set RG  Pillow 48,845.00 1381  KenkoWave 17,465.00
8601  TW Set KG  Pillow 49,424.00 MAGNETIC MASSAGE PRODUCTS
8610  FU Set RG  Pillow 61,210.00
8611  FU Set KG  Pillow 61,790.00
8620  QN Set RG  Pillow 74,191.00 1330  MagCreator 10,329.00
8621  QN Set KG  Pillow 75,350.00 1320  MagBoy 3,794.00
8630  KG Set RG  Pillow 86,555.00 1350  MagBoy 3+1 Pack 11,381.00
8631  KG Set KG  Pillow 87,715.00 MAGNETIC INSOLES
8700  TW Dream  Light Set 61,290.00 2000  MagStep SM 3,794.00
8710  FU Dream  Light Set 78,185.00 2001  MagStep MD 3,794.00
8730  KG Dream  Light Set 113,213.00 2010  Kidstrides 2,945.00
8656  TW Dream  DLX Set 89,843.00 2024  Magstrides 5-9  SM 3,950.00
8655  FU Dream  DLX Set 111,585.00 2025  Magstrides 7- 12 MD 3,950.00
8657  QN Dream  DLX Set 134,584.00 2026  Magstrides 13- 18 LG 4,574.00
8658  KG Dream  DLX Set 162,581.00          
 SUBTOTAL  SUBTOTAL
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