Name:

Email Address:

Ship Address:

City:

State:

Zip:

Date:

Type of Plaque:
cast aluminum cast bronze photo relief portrait option
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Size of Plaque:

(in inches)

Shape of Plaque:
square rectangle portrait rectangle landscape circle oval special shape
What standard background color do you prefer?
Black Dark Oxide Brown Duronodic Bronze
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Do you prefer a painted background color instead?
No Yes
What standard background texture do you want?
Leatherette Stipple Sand Pebble
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What clear coat is required on top of the background color?
Gloss Semi-Gloss Satin Matte
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What standard border do you prefer?
No Border No Border Bevel Single Line Single Line Bevel Single Line Wide Bevel Double Line Double Line Bevel Double Line Wide Bevel Inset Single Line Inset Single Line Bevel Inset Double Line Inset Double Line Bevel Projected Bevel
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What Mounting method is required?
Blind Stud Mount Solid Wall Hollow Wall Wood Mount Garden Stake Post Mount 45 degree Post Mount 90 degree
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What Rosettes do you prefer?
Not applicable-want blind mount R1 R2 R3 R4 R5 R6 R7
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What will the text read on your plaque?:

Will you require a logo?
No please email art to
Provide any additional information so that we can provide an accurate quote: