Signage : Order form

For further information, and in particular to request a quotation before placing your order, please contact us at signaletique@rempart.com.

NAME *

FIRST NAME *

ESTABLISHMENT (if applicable)

ADDRESS *

POSTAL CODE *

CITY *

TELEPHONE *

EMAIL *

DELIVERY ADDRESS (if different)

TO BE COMPLETED WHEN ORDERING A "Monument historique" OR "Site patrimonial remarquable" plaque:

A plaque bearing the "Monument historique" or "Site patrimonial remarquable" logo may only be affixed to a building, space or object protected under the French heritage code. Specify below the NAME and ADDRESS OF THE BUILDING, SITE OR GARDEN

*

TYPE AND DATE OF PROTECTION

*

Order "Monument historique" (MH) steel plaques (flat)

If necessary, specify the number of nameplates and the text to be inscribed on the nameplate:

Ordering a Monument Historique (MH) plaque in aluminium (relief)

If necessary, specify the number of nameplates and the text to be inscribed on the nameplate:

Order "Monument historique" (MH) steel plaques (flat)

If necessary, specify the number of nameplates and the text to be inscribed on the nameplate:

Ordering a Monument Historique (MH) plaque in aluminium (relief)

If necessary, specify the number of nameplates and the text to be inscribed on the nameplate:

Order nameplates only.

If necessary, specify the number of nameplates and the text to be inscribed on the nameplate:

Monument historique (MH) plaque for movable object / 10 x 10 cm: specify number.

Comment



Payment by cheque made out to REMPART, bank transfer or money order.

In the case of an order for a nameplate, we will contact you to submit the model before manufacturing the plate. Please allow about 1 month for delivery.