|
Conversion Kits (provide
following info about your projector)
|
TOTAL |
|
QTY |
Manu. |
Color |
Model/Name |
Film Size |
Shade Choice* |
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Describe projector/conversion
kit per above |
Shade Choice* |
$ |
|
|
|
|
|
|
|
|
|
Subtotal |
$ |
|
AMIA and
TMMS members subtract 10% |
$ |
|
MD Residents
add 5% Tax |
$ |
|
Shipping |
$ 15.00 |
|
TOTAL |
$ |
* Shade choices: Black
parchment (opaque) or Eggshell (translucent off-white with either black
or brown trim). One shade per conversion kit.
__Check/Money
Order (Make check payable to MacLamps Inc.)
__Charge
to:
__MC __Visa __American Express __Discover
__/__/__/__//__/__/__/__//__/__/__/__//__/__/__/__
__/__/__/__
Expiration date
Signature:______________________________
Billing Address:
________________________________________________________________
________________________________________________________
________________________________________________________
|
Shipping Address:
Name:____________________________________________
Street:____________________________________________
City/State/Zip:______________________________________ |
Note: Please
include your day and evening phone numbers in case of questions!
Day (____)
__________________ Evening (____)_________________
Fax (____)
__________________
MacLamps Inc. | 1013
8th Steet | Laurel, MD 20707 | 301.498.5777 | Fax 301.490.1752
|