SHOP ORDER FORM

LUX
Registered office:
3rd floor, 18 Shacklewell Lane, London E8 2EZ, UK

Tel: + 44 (0)20 7503 3980
Fax: + 44 (0)20 7503 1606
Email: info@lux.org.uk
www.lux.org.uk

Please return with UK pound sterling payment (cheque, bankers draft or postal order) to the address above.

Name:

Address:




Contact telephone number:

Your order will be dispatched by first class post in the UK, or airmail overseas.  Per item postage and packing costs are as follows:

UK: £2
Europe: £3
World: £5

When ordering more than one item at a time, the cost will be 50% per item for each item included in the order over one.

Item name / artist				Quantity					Price

1)


2)


3)


4)


5)


6)


7)


Subtotal


Postage and packing


TOTAL