Fax Form

FAX ORDER FORM

Thank you for your order. Our top priority is to provide you excellent service at outstanding prices. In many cases, we ship your order on the same day it is placed. You will receive an email with your UPS tracking information after your order has shipped. Please note that any applicable shipping charges will be added to your order. Sales tax is charged on orders shipped to California addresses only. Please be sure to enter the billing address exactly as it is on file with your credit card company, or your order may be delayed while we verify your address.

We provide free UPS Ground Shipping for all orders over $75!

Please fax your order to 650-745-2721. A customer service representative will respond by phone or email with confirmation and totals.

Item Number	Description	Options	Unit Price	Quantity	Subtotal







Coupon Code (will be applied at Ylighting)
Subtotal for YLIGHTING

Choose shipping options for YLIGHTING

	Ground, Next Day, 2 Day, 3 Day
	Please note that UPS does not ship to PO Boxes

Email Address:
Shipping Address:
Name:
Address:
Fax Number:
City:		State:
Zip:		Phone:

Credit card information
Payment Method :	VISA MasterCard American Express Discover
Card or Account Number
Expiration date:
Billing Address:
	Use the shipping address as the billing address.
Name:
Address:

City:		State:
Zip:		Phone:
Country:

By submitting this order to us, you acknowledge that you have read and agree to our store policies.

Signature: