Receive a refund for AU$57.75, valuable hair loss prevention articles AND free gifts valued at AU$94.90 after every ReVive Program!

Register with us below then complete our ReVive Program to receive THREE incredible BONUS GIFTS!

What you will receive ...

BONUS GIFT #1

Receive a refund for AU$57.75! Yes, that's right! We will mail you a company cheque or refund you online for AU$57.75, the same value as one bottle of 101 Hair and Scalp Tonic, when you purchase at least one unit of 101 Starter Pack with the R. R. P. AU$175.40 and register overleaf!

BONUS GIFT #2

Receive FREE, informative, hair loss prevention articles and regular 101 newsletters written by our 101 doctors!

BONUS GIFT #3

Receive a FREE gift bottle of 101 Hair And Scalp Tonic-Special and one bottle of 101 Hair Formula, total value AU$94.90! When you complete our four-month ReVive Program (2 bottles of 101 Hair and Scalp Tonic, 6 bottles of 101 Hair And Scalp Tonic-Special and 4 bottles of 101 Hair Formula), and take a set of "After Photos". Then post or email your "After Photos" to us with your receipts for all your 101 Hair Products and we will mail you your FREE gift bottle of 101 Hair And Scalp Tonic-Special and one bottle of 101 Hair Formula, total value AU$94.90. We will mail your free gift directly to your home or you can pick it up at your 101 outlet!

Our Incentive Offer is ongoing! Receive our FREE gifts of one bottle of 101 Hair and Scalp Tonic-Special and one bottle of 101 Hair Formula every time you finish our 4-month ReVive Program! (Offer excludes combs). At the end of each ReVive Program, simply post or email your new "After Photos" to us with your 101 Hair Product receipts from the Program.

101 Incentive Offer Condition:
To qualify for this Incentive Offer, you must purchase all 101 Hair Products from the same place of purchases.


How To Receive Your 3, FREE BONUS GIFTS!

Within three weeks of purchasing your 101 Starter Pack:
  1. Complete your details overleaf and remember to store the receipt of your 101 Starter Pack safely.
  2. Take your "Before Photos" ¨C Ask staff at your outlet if they will take your first set of photos. If they do not take photos, see over for details of how you can take your own photos.
  3. Post this form, your "Before Photos" and the receipt for your 101 Starter Pack to us:
    101, PO Box 138, Ormond, Vic., 3204, Australia or use the Reply Paid envelope enclosed. Please staple your receipt to the top, right hand corner of this page.

    Alternately, you can also submit the form below and attach the receipt of your purchase and your 'Before Photos" thru the upload option below. Or simply send us an email at sales@101.com.au together with the form, receipt and Before Photos.

Title: *

First Name: *

Last Name: *

Address: *

Postcode: *

Name of 101 outlet where you purchased 101 Hair products: *

Address of 101 outlet above: *

Attach receipt here: *


Browse your hard drive to find the file to attach, then when the form is submitted, your file will be attached.
Email address: *

Phone: *

Question or Free Consultation Request: *

  2011 101 Hair and Skin Care P/L. | Phone: 1800 001 101 | Email: sales@101.com.au