ORDER FORM

FLORENTINE OIL LAMPS



Monaco Lumi
Via C. Morin, 24 - 00195 Rome - Italy
VAT nr. IT10015410581
E-mail  info@accendilaluce.com


INSTRUCTIONS:

1 - choose your lamp and select its features
2 - double-click in the "quantity" box and type the desired number
3 - complete the form with your own data
4 - click on "send the order"

NOTE: the cost of the lamp appears by clicking on the "amount" box,
while you can find the total amount of purchases at the bottom of the form








  FLORENTINE SMALL polished  

LAMPSHADE IMAGE QUANTITY AMOUNT
IVORY PLISSE'  ~  € 186
 
GOLDEN YELLOW PLISSE'  ~  € 186
 
RED PLISSE'   ~  € 186
 
DARK GREEN PLISSE'  ~  € 186
 
PARCHMENT  ~  € 139
 
SHANTUNG   ~  € 139
 






  FLORENTINE SMALL antiqued  

LAMPSHADE IMAGE QUANTITY AMOUNT
IVORY PLISSE'  ~  € 186
 
GOLDEN YELLOW PLISSE'  ~  € 186
 
RED PLISSE'  ~  € 186
 
DARK GREEN PLISSE'  ~  € 186
 
PARCHMENT  ~  € 139
 
SHANTUNG   ~  € 139
 






  FLORENTINE LARGE polished  

LAMPSHADE IMAGE QUANTITY AMOUNT
IVORY PLISSE'  ~  € 245
 
GOLDEN YELLOW PLISSE'  ~  € 245
 
RED PLISSE'   ~  € 245
 
DARK GREEN PLISSE'  ~  € 245
 
PARCHMENT  ~  € 188
 
SHANTUNG   ~  € 188
 






  FLORENTINE LARGE antiqued  

LAMPSHADE IMAGE QUANTITY AMOUNT
IVORY PLISSE'  ~  € 245
 
GOLDEN YELLOW PLISSE'  ~  € 245
 
RED PLISSE'   ~  € 245
 
DARK GREEN PLISSE'  ~  € 245
 
PARCHMENT  ~  € 188
 
SHANTUNG   ~  € 188
 






Total amount  €  





     PERSONAL DATA
     (Fields with the blue border must be filled out)

NAME:
SURNAME:
(COMPANY:)
ADDRESS:
COUNTRY:
TELEPHONE:
E-MAIL:
 please check carefully your e-mail address
or we will not be able to answer you !



INVOICE REQUEST:
Company:
Tax address:
VAT number:
Fiscal Code:




SHIPPING RISK INSURANCE :
Cost Euro 3,00 (please look at"sales information")

click on the circle for your choice

YES     
NOT     



YOUR NOTES AND COMMUNICATIONS







NOTE: In the event of problems with the transmission of this form,
you can notify us directly of your order by e-mail to: info@accendilaluce.com