ORDER FORM

WALL LAMPS and VENTOLINE



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








WALL LAMPS (APPLIQUES)
brass finishings:
classic - polished - satiny - bronzed - golden leaf


MODEL picture brass finishing Quantity Amount
REGINA - Euro 620,00  
REGINA (assembling kit) - Euro 590,00  
ORCHIDEA 2 lights - Euro 198,00  
ORCHIDEA 3 lights - Euro 255,00  
GARDENIA - Euro 65,00  
IRIS - Euro 129,00  
GIGLIO 2 lights - Euro 114,00  
GIGLIO 1 light - Euro 88,00  
ORTENSIA large - Euro 159,00  
ORTENSIA small - Euro 82,00  
AZALEA 1 light - Euro 104,00  
AZALEA 2 lights - Euro 139,00  
GENZIANA 1 light - Euro 104,00  
GENZIANA 2 lights - Euro 139,00  
GOCCIA large - Euro 225,00  
GOCCIA small - Euro 113,00  
QUADRO-SPECCHIO - Euro 78,00  
SNAKE - Euro 82,00  
QUADRO-SPECCHIO LED - Euro 210,00  

MODEL picture brass finishing Lampshade Lampshade Material Lampshade Trimming Quantity Amount
OVALE - Euro 99,00  
OCTOPUS 1 light - Euro 55,00  
OCTOPUS 2 lights - Euro 99,00  
SNODO - Euro 92,00  
TULIPANO large - Euro 69,00  
TULIPANO small - Euro 59,00  
MAGNOLIA - Euro 128,00  
DALIA - Euro 69,00  
DALIA 4 lights - Euro 190,00  
DALIA 2 lights - Euro 135,00  
DALIA 2 lights in line - Euro 115,00  






WALL LAMPS (APPLIQUES)
chromium-plated

MODEL picture Quantity Amount
QUADRO SPECCHIO chromed - Euro 84,00  
SNAKE chromed- Euro 90,00  
QUADRO-SPECCHIO LED chromed - Euro 230,00  

MODEL picture Lampshade Lampshade Material Lampshade Trimming Quantity Amount
TULIPANO large chromed - Euro 76,00  
TULIPANO small chromed - Euro 66,00  
MAGNOLIA chromed - Euro 143,00  
DALIA chromed - Euro 76,00  
DALIA 4 lights chromed - Euro 210,00  
DALIA 2 lights chromed - Euro 149,00  
DALIA 2 lights in line chromed - Euro 129,00  






VENTOLINE and CONETTI


MODEL picture Material Trimming Quantity Amount
SEMPLICE - Euro 9,00  
SCUDO - Euro 9,00  
VENEZIA - Euro 9,00  
PLISSE' - Euro 19,00  
CONETTI - Euro 10,00  







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