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
QuantitySubtotal
      
      
      
      
      
      
      
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: