ORDER FORM

LUXURY 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






MODEL IMAGE LAMPSHADE QUANTITY AMOUNT
   INFINITY  -  Euro 469  
   IMPERIAL with smooth lampshade  -  Euro 479  
   IMPERIAL with plissč lampshade  -  Euro 569  
   TRIUM with smooth lampshade  -  Euro 409  
   TRIUM with plissč lampshade  -  Euro 499  








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