Natural Choice in Lighting

Use this Order Form Only for Cut & Pierced
Quilted Blossom Design

Cut & Pierced Quilted Blossoms Design
 Centered Design which is very attractive when illuminated!

Paper Color
(Mark an X in the box beside your choice of paper color)

Paper
Color

Select
one
Paper
color
for each
shade
ordered

FYI: Lampshades have two trims. The first trim, is the widest, it is what secures
the wires to the lampshade material. The second trim is a narrow accent trim.

Shades are trimmed with the following accent colors:
Off White   Off White Shades are trimmed with off white ribbon and off white braid
White   White Shades are trimmed with white ribbon and white braid

Lampshade Hardware
(Mark an X in the box beside your choice of hardware)

Lampshade Hardware Needed:

Description of the Lampshade Hardware

Select One
type of
hardware
Clip on hardware clips directly onto light bulb.  
Washer this style lampshade fits onto a harp*, and is secured with finial**.
 (Harps & finials are not sold with lampshades).		  
Uno threads directly onto the outer edge of the light socket and hangs down from the lamp. (This fixture is often found on floor lamps that have an arm, and bulb hangs downward with shade attached at outer edge of socket.)  
Chimney this wire round ring slides down over a glass hurricane chimney  
*Harp: This is a brass bracket that holds a lampshade onto the lamp and is secured with a finial.
**Finials secure the lampshade in place on the harp, and attach at the center top of the shade, usually these are decorative shapes.

Shade Sizes
 (Mark an X in the box beside your choice of shade size, and fill in price box)

Please Mark one of the following shade sizes*

Select
One

Price Each

Price
4" top x 10" bottom x 7" high   $27.00  
4" top x 12" bottom x 7" high   $28.00  
4" top x 13" bottom x 7½ " high   $28.00  
5" top x 9" bottom x 7 " high   $27.00  
5" top x 12" bottom x 7 " high   $28.00  
7" top x 14" bottom x 9" high   $30.00  
Shipping Charges

  Sub Total:

  
$00.00 to $30.00 add  $ 6.50 

-Maine Delivery add 5 % Sales Tax:

  
$30.01 to $ 40.00 add $ 7.50  

Shipping Charges ( charges at left ) :

  
$40.01 to $ 60.00 add $ 8.50  

Grand Total:

  
$60.01 to $100.00 add $10.00     
$100.01 to $150.00 add $12.00     
$150.01 to $200.00 add $13.50     
Order amounts over $200.00 will be shipped at actual UPS rate charges, plus $2.00 handling charge.  

*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 UPS, 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:


PHONE NUMBER:


E-MAIL:
Privacy Policy, Credit Card Security: ANY  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: 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