© Herbalife. All rights reserved. Re 1/03/2024
HERBALIFE INTERNATIONAL OF AMERICA, INC
Refunds & Repurchase Department
950 W. 190th Street Torrance, CA 90502-1001
T: 855-757-4747
Email: DS_CSSupport@Herbalife.com
Inventory Repurchase Request Form
(This form is required.)
This form must be signed, dated, and returned to Herbalife to initiate your request.
• I hereby permanently resign as a Herbalife Independent Distributor.
• I understand that only unopened products, unused U.S. and Puerto Rico corporate event tickets, and
Herbalife produced literature and sales aids that are purchased within the previous 12 months** are
eligible for repurchase by Herbalife.
• I understand my refund will be issued for the cost I paid for the items, plus any taxes and any shipping
and handlings costs on the original delivery and return of the items to Herbalife. Herbalife will also
arrange for the pickup of items to be returned to Herbalife.
• I understand that I will be refunded via the same method of payment that was used when I bought the
items. If I didn’t pay via credit card, the refund will be via check or EFT.
• I understand that Herbalife has no responsibility for items returned that are not eligible for a refund
pursuant to Herbalife’s policy.
• I have included proof of purchase for any merchandise (copies of credit card statements, money orders
or cancelled checks), which I did not purchase directly from Herbalife.
• I understand that if I permanently resign within 12 months after the date Herbalife accepted my Herbalife
Distributorship Application and Agreement, I am entitled to a full refund of the cost of my International
Business Pack whether or not in resalable condition.
By my signature, I acknowledge and agree to the above.
_____________________________________________ __________________________________
(Name - Please Print) (Herbalife Identification Number)
_____________________________________________ __________________________________
(Signature) (Date)
Please contact Herbalife’s Refunds and Repurchase Department at 855-757-4747 to arrange the pick-up
of your inventory.
**The 12-month resignation period may be extended for Distributors living in certain states or US Territories.
The personal information entered on this form will be used by Herbalife to process your request, to fulfill all legal and contractual requirements, and for
other business purposes as described by our privacy policy, located at https://www.herbalife.com/privacy-policy. Herbalife or its authorized third parties
may contact you directly for these purposes. Contact us at 866-866-4744 or Privacy@herbalife.com for more information. CALIFORNIA RESIDENTS:
please see our Supplemental Privacy Notice for California Residents (https://www.herbalife.com/privacy-policy#CaliforniaSupplement ). A paper copy is
available upon request.