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 208,00  
ORCHIDEA 3 lights - Euro 268,00  
GARDENIA - Euro 68,00  
IRIS - Euro 132,00  
GIGLIO 2 lights - Euro 119,00  
GIGLIO 1 light - Euro 92,00  
ORTENSIA large - Euro 165,00  
ORTENSIA small - Euro 86,00  
AZALEA 1 light - Euro 108,00  
AZALEA 2 lights - Euro 149,00  
GENZIANA 1 light - Euro 108,00  
GENZIANA 2 lights - Euro 149,00  
GOCCIA large - Euro 235,00  
GOCCIA small - Euro 118,00  
QUADRO - Euro 162,00  
SNAKE - Euro 85,00  
QUADRO-SPECCHIO LED - Euro 219,00  

MODEL picture brass finishing Lampshade Lampshade Material Lampshade Trimming Quantity Amount
OVALE - Euro 108,00  
OCTOPUS 1 light - Euro 55,00  
OCTOPUS 2 lights - Euro 99,00  
SNODO - Euro 98,00  
TULIPANO large - Euro 69,00  
TULIPANO small - Euro 59,00  
MAGNOLIA - Euro 134,00  
DALIA - Euro 72,00  
DALIA 4 lights - Euro 199,00  
DALIA 2 lights - Euro 142,00  
DALIA 2 lights in line - Euro 122,00  






WALL LAMPS (APPLIQUES)
chromium-plated

MODEL picture Quantity Amount
SNAKE chromed- Euro 95,00  
QUADRO-SPECCHIO LED chromed - Euro 239,00  

MODEL picture Lampshade Lampshade Material Lampshade Trimming Quantity Amount
TULIPANO large chromed - Euro 78,00  
TULIPANO small chromed - Euro 68,00  
MAGNOLIA chromed - Euro 149,00  
DALIA chromed - Euro 80,00  
DALIA 4 lights chromed - Euro 222,00  
DALIA 2 lights chromed - Euro 160,00  
DALIA 2 lights in line chromed - Euro 139,00  






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