Order Form for 
Woods Scene & Ducks in Flight Silhouette Shades
I would like 
 to order:
Description How 
Many
Price Each

Price

Shade only

Woods Scene Silhouette Lampshade (currently this lampshade design is available in one size only, this is: 5"washer top by 13" bottom by 9" high)

  $28.00  

Shade only

Ducks  in Flight Silhouette Lampshade (currently this lampshade design is available in one size only, this is: 5"washer top by 13" bottom by 9" high)

  $28.00  

Shipping Charges                                                                                                              Sub Total:

 

$ 00.00-$30.00---~--- -$ 10.00                                                                                      -Maine Delivery add 5% Sales Tax:

 

$ 30.01-$ 40.00--~-- -  $ 12.00                                                                                     Shipping Charges  (charges at left )

 

$ 40.01-$ 60.00---  --   $ 14.00                                                                                                                             --Grand Total:

 

$ 60.01-and up-            $ 16.00               (We ship at rates listed, or actual, whichever is LESS)

 

*Custom sizing and hardware are available. Contact us ( e-mail ) for further information.

FYI: To accurately measure a shade for custom sizes we need: top diameter of shade, bottom diameter of shade, and vertical height measurement of shade. (set shade on table and measure straight up and down inside of shade), with these three measurements we make the lampshade arc.

 

Method of Payment:

Please check one: ______________ ____CHECK/M.O.

ACCOUNT #

EXPIRATION DATE__________________/_____________________
                                         
  (MONTH)                                  (YEAR)

NAME AS IT APPEARS ON CARD: 
(PLEASE PRINT)

SIGNATURE AS IT APPEARS ON CARD:

(PLEASE WRITE SIGNATURE)

Shipping Address:



NAME:
We ship whenever possible by Fed Ex, and Parcel Post as a secondary choice.. Always give us your street  address along with any P.O. Box Number

ADDRESS:


CITY:                                                                                                    STATE:                                                               ZIP  CODE:


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E-MAIL:
Privacy Policy, Credit Card Security: Your mailing address, e-mail address, phone number, Credit card numbers, in other words, ANY and all personal information you supply us with WILL NOT be stored online, given to anyone else,  or sold to anyone else, for any purpose, EVER! All information is used strictly in house in reference to your orders, and helping us communicate with you
E-mail Us: info@naturalchoicelighting.com
Phone/Fax: 1-207-779-0830
Call between 9:00 A.M. and 9:00 P.M. Eastern Standard Time. (After 5:00 PM. (EST) this phone MAY BE answered by a machine, please leave your Name and Number and best time for US to RETURN your call, or if you prefer, you may leave your order. Don't forget you can fax orders too!!)

Mail check or Money Order to: 
Natural Choice in Lighting           103 Temple Road        Temple, ME 04984

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