ORDER FORM

TABLE 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 brass finishing Lampshade Lampshade
Material
Lampshade
Trimming
Quantity Amount
BOCCIA
Euro 56,00
 
OTTAGONALE SMALL
Euro 54,00
 
OTTAGONALE MEDIUM
Euro 72,00
 
OTTAGONALE LARGE
Euro 138,00
 
BUGIA
Euro 49,00
 
SALISCENDI
Euro 116,00
 
JOLLY
Euro 72,00
 
TULIPANO SMALL
polished   Euro 57,00
 
TULIPANO LARGE
polished   Euro 99,00
 
TULIPANO SMALL
chromium-plated   Euro 69,00
 
TULIPANO LARGE
chromium-plated   Euro 118,00
 
SUN SMALL
polished   Euro 89,00
 
SUN LARGE
polished   Euro 175,00
 
SUN SMALL
chromium-plated   Euro 102,00
 
SUN LARGE
chromium-plated   Euro 194,00
 
CLASSIC LARGE
Euro 249,00
 
CLASSIC MEDIUM 01
STANDARD   Euro 92,00
 
CLASSIC MEDIUM 01
EXTRA   Euro 99,00
-  
CLASSIC MEDIUM 01
WITH STICKINGS   Euro 122,00
-  
CLASSIC MEDIUM 02
STANDARD   Euro 92,00
 
CLASSIC MEDIUM 02
EXTRA   Euro 99,00
-  
CLASSIC MEDIUM 02
WITH STICKINGS   Euro 122,00
-  
CLASSIC MEDIUM 03
STANDARD   Euro 92,00
 
CLASSIC MEDIUM 03
EXTRA   Euro 99,00
-  
CLASSIC MEDIUM 03
WITH STICKINGS   Euro 122,00
-  
CLASSIC SMALL
Euro 54,00
 
TRITTICO LARGE
Euro 119,00
 
TRITTICO SMALL
Euro 62,00
 







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