TO PLACE ORDER FILL OUT & PRINT FORM BELOW,  ENTER CREDIT CARD NUMBER AFTER FORM IS PRINTED.             SEND CHECK TO:     
                                  Advanced Lighting Corporation • 30 Raynor Avenue • Ronkonkoma, NY 11779                                      FAX FORM TO 631-467-4896 or CALL 631-467-4877 WITH CREDIT CARD # READY

NAME:
ADDRESS:
CITY: STATE*:
ZIP:  PHONE:
CREDIT CARDS
MC Visa Exp. _________________ Acct# _____________________________________
V-Code (Last 3 digits on the back of card)-__________

  Quantity Item Price
TITAN Handlight with strap only  $ 109.00
TITAN Handlight with 12VDC Vehicle charger/hard wire & strap $ 159.00
TITAN Handlight with AC Home charger & strap $ 159.00
TITAN Handlight with AC / DC adaptors & strap $ 169.00
Blue Black Red Yellow White Safety Green  
FD1 Handlight with strap only  $ 109.00
FD1 Handlight with 12VDC Vehicle charger / hard wire & strap $ 159.00
FD1 Handlight with Home charger & strap $ 159.00
FD1 Handlight with charger & AC / DC Adaptors & strap $ 169.00
Blue Black Red Yellow White Safety Green  
AL5000 Handlight with strap only  $  99.00
AL5000 Handlight with 12VDC Vehicle charger / hard wire & strap $ 149.00
AL5000 Handlight with AC Home charger & strap $ 149.00
AL5000 Handlight with AC / DC Adaptors & strap $ 159.00
Blue Black Red Yellow White Safety Green  
AL2000 Handlight with strap only $  69.00
AL2000 Handlight with Vehicle charger / hard wire & strap $119.00
AL2000 Handlight with 12V  Home charger & strap $119.00
AL2000 Handlight with AC / DC Adaptors & strap $129.00
Blue Black Red Yellow White Safety Green  
AL90 Power-Plus Handlight w/ 2 battery packs & charger $119.00
Freight  (More than one item please call for shipping fee) $ 10.00
Freight (Outside New York)  $ 12.00
 COD (optional) $  10.00
* NEW YORK STATE RESIDENTS please add 8.65% Tax
TOTAL
For other products not listed call for pricing.



"We're Lighting the Way"