ORDER FORM Name You are welcome to fill out this form with as much detail as you want or, if it’s easier, you can send me an email describing what you’d like, and I will get back to you with some drafts for you to consider. margaretkeenan@sympatico.ca Plaque Shape OvalRectangleRound Reference Image If you like, you can reference a plaque from one of my image galleries here. SAMPLE GALLERIES To open the above link in a new tab (and remain on this form) right click and select “open in a new tab” Image to Reference (optional) Describe briefly what’s on the plaque you are using as a reference. Text for Front of Plaque please write exactly the text you want on the front of the plaque Placement/Colour of Text please describe where on the plaque you would like the text. ie. “the house number in the centre”, the Street name curved below. Also what colour text (note: black stands out best) Message on Back If you want you can add a personalized message to be painted on the back of the plaque Decorative Elements please describe what decorative elements you would like. ie. berries, birds, oak leaves, border. Be as specific as you like, including colours. If you’re not sure how to describe it, don’t worry – I will work with you to develop sketched out drafts until we have perfected i before I start painting. Upload Reference Add File if you have any pictures you’d like to reference, please add them here Email Address * Shipping Address Preferred date of arrival please note, plaques usually take between 2-3 weeks to ship once draft is agreed upon. If you need a rush order, let me know and I’ll do my best to help! Message / Comments Information Summary Plaque Shape Rectangle Size Oval Size Round Size Image to Reference (optional) Text for Front of Plaque Placement/Colour of Text Message on Back Decorative Elements Upload Reference Email Address Shipping Address Preferred date of arrival Message / Comments Profile