Busy Body Gyms to Go Credit Card Authorization Form Customer Information Customer Name: JEFFREY EPSTEIN (Please Print) Type of Card (please check one): iY American Express OO MasterCard O Visa 0 _sODiscover 0D SCODebit Billing Address: __9 EAST 715* STREET NY NY Billing Zip Code: 10021 Credit Card Number: a. Expiration Date: 8/16 CVV Number (the 3 or 4 digit code after credit card number on the fronvback of card, please see below): 9047 4 DIGIT VERIFICATION NUMBER 3 DIGIT VERIFICATION NUMBER JACK OF CARD RONT OF CARD Amount of Credit Card Charge: $ 2586.37 Customer Approva I authorize and agree to pay the above amount per the credit card issuer agreement. «J LPO wey & li 4 F07 py) 12/30/14 Customer Signature Date PLEASE COMPLETE AND FAX BACK TO: 954-781-1575 / ATTN: Melissa Yergin For Busy Body Use Only: Invoice Number 79 -6400 Date.12/18 14 EFTA00311345

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BUSYBODY GYMS-TO-GO 11021 SOUTHERN BLVD # 150 Invoice #: 79- 6400 ROYAL PALM BEACH, FL 33411 Sale Date: 12/15/14 SP: CARLOS VAZQUEZ CUSTOMER JEFFREY EPSTEIN SHIP TO 756178 358 ELBRILLA WAY PALM BEACH, FL 33480 TELEPHONE (HOME) JY Worx) PY DELIVERY INSTRUCTIONS INSPIRE FT1 GYM: INSTALL WT STK LABELS PRECOR AMT 885 P80: CHECK PROGRAMMING DOP: 11/22/14 79-6276 tee k kee eee! CALL 1/2 HR AHEAD - JANUSZ 561-818-8361 *#ttkeekeeeeetetenee 1 0610146 INSPIRE PT2 NEW FUNCTIONAL TRAINER FT WI 3,595.00 3,595.00 1 0710203 INSPIRE SCS-WB FID BENCH 349.99 349.99 1 0710204 INSPIRE SCS-LE LEG EXT ATTACHMENT 99.99 99.99 1 0710249 INSPIRE FT2LK CONVERSION KIT FOR SCS BEN 39.99 39.99 SUB-TOTAL: 4,084.97 TAX: 266.10 DELIVERY CHARGE: 350.00 TOTAL: 4,701.07 PAYMENTS /ADJUSTMENTS : BALANCE DUE: 4,701.07 ~ ALL VITAMINS AND SUPPLEMENTS ARE NON-RETURNABLE - ALL SPECIAL ORDERS ARE FINAL, NO REFUNDS - ALL OUT OF BOX AND FLOOR MODEL SALES ARE FINAL - FULL REFUND WITHIN ONE WEEK OF DELIVERY MINUS DELIVERY FEE - A 15% RESTOCKING FEE APPLIES IF RETURNED AFTER ONE WEEK - NO RETURNS AFTER 14 DAYS ALLOWED, UNLESS APPROVED BY MGMT. - PRODUCT MAY BE RETURNED WITHIN 30 DAYS TO UPGRADE ONLY ~ FOR SERVICE CALL 954-781-1787 EXT. 212 EFTA00311346

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BUSYBODY GYMS-TO-GO CREDIT INVOICE #..: 79- 6399 11021 SOUTHERN BLVD # 150 PAGE #.....: at ROYAL PALM BEACH, FL 33411 DATEB.......: 12/15/14 561-753-4740 SALESPERSON: CARLOS VAZQUEZ CUSTOMER JEFFREY EPSTEIN 756178 358 BLBRILLA WAY PALM BREACH, FL 33480 0440080 PRECOR AMT 885 P80 PHRCA8853660EN OPEN STRIDE 8,995.00- 1 0610119 INSPIRE FT1 W/BBNCH FUNTIONAL TRAINER 1,995.00- 1,995.00- TERM OF SALE.: AP SUB TOTAL 1,995.00- RETURN DATE..: UNKNOWN SALES TAX 119.70- TOTAL AMOUNT 2,114.70- - ALL VITAMINS AND SUPPLEMENTS ARE NON-RETURNABLE - ALL SPECIAL ORDERS ARE FINAL, NO REFUNDS ' - ALL OUT OF BOX AND FLOOR MODEL SALES ARE FINAL - FULL REFUND WITHIN ONE WEEK OF DELIVERY MINUS DELIVERY FEE - A 15% RESTOCKING FEE APPLIES IF RETURNED AFTER ONE WEEK ~ NO RETURNS AFTER 14 DAYS ALLOWED, UNLESS APPROVED BY MGMT. - PRODUCT MAY BE RETURNED WITHIN 30 DAYS TO UPGRADE ONLY - FOR SERVICB CALL 954-781-1787 EXT. 212 EFTA00311347