Illumineering Order Form

Discounts:
Please click here to contact us regarding quantity discounts and for school, university, and union (I.A.T.S.E./ Equity) discounts.

Sorry, we do not yet accept credit cards.

Please contact us about payments using PayPal .

Please contact us about sales to Europe.

Illumineering Order Form

To order Illumineering products, please fill out the form and click submit. Or, print this page, fill in the information, and fax it to us at 415-626-8776 or mail it to the address below.

Pick a product from the drop-down list, then type in a quantity and click another field, or press Tab.

Product	Qty	Unit Price	Ext Price


	Subtotal:
Click here if you live in	Sales Tax:
	Shipping: (Within U.S. and Canada)
Please make check payable to: "Illumineering." Federal Tax I.D. #: 545-84-9119	Total:

Bill To:

Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Ship To:

Name:
Company:
Address1:
Address2:
City, State, Zip:

Questions, Comments or Suggestions:

Please send payment (and order form, if not submitted) to:
Illumineering / 3150 18th Street / Suite #439 Box #419 / San Francisco CA / 94110 USA