THANK YOU TO FILL A FORM UP BY PRODUCE
  
AUBUSSON
TAPESTRY
In order to allow us effective research and/or the creation of your own blazon, please fill up the questionnaire below.
THE MODEL OF YOUR BLAZON OR COAT OF ARMS WILL BE SUBJECTED BEFORE MAKING YOUR TAPESTRY.
YOU MUST FILL THE INDICATE * BOXES UP.
  
  NAME to which the blazon must refer itself*:    
REGION, PROVINCE, COUNTRY, of origin of your family, if you know it:
PROFESSIONAL ACTIVITY to which the blazon could be refered, yours or that of your family :
Please specify if you think of having affinities with particular elements, such as animals, plants, minerals, planets...:
TAPESTRY
20" x 20"
IN EUROS:
1450.-
   DÉCORATIONS, military decoration, civil and/or military quotation :    
Research/Creation, its heraldic description and its certificate of authenticity when GENERALDRY created the coat of arms, and shipment expenses included.
   IMPORTANT: If you already got your own crest, click HERE for us to send them by Email (drawing or description).      
I READ AND ACCEPT THE TERMS OF SALE
PLEASE CHECK THE BOX*
   Please, INDICATE here all specified which would seem possibly useful to you for the creation of your blazon :    

CHOOSE YOUR DRAWING
BLAZON : 1 450.- Euros   COAT OF ARMS: 1 550.- Euros

I PREFER AN ESTIMATE
TAPESTRY SIZE in inches:
 Height Width
If you choose to get an estimate dont send any money now. Only fill your Email address up.

PARTIAL PAYMENT WITH CREDIT CARD
In order to open your file, you will have to pay by credit card a partial amount of : 50.- Euros
The balance will have to be paid by bank tranfert via the bank address below
In order to know the currency rates, please consult the following website : http://www.oanda.com

 
PAYMENT WITH CREDIT CARD - CARD HOLDER'S NAME :
 
 
We only accept VISA CARD or MASTERCARD
 
  Card Number :  
   
Expiration date : /
 

BANK TRANSFERT
Bank Name :
   BANQUE POPULAIRE
Bank address :
   18, Grande Rue de Vaise
Bank address :
  69009 Lyon - FRANCE
Company Name:
  GENERALDRY - GRAPHISTYLE
Account Number :
   00201122363
IBAN (Int'l Bank Account Number) :
   FR76 1390 7000 0000 2011 2236 368
BIC (Bank Identification Code) :
   CCBPFRPPLYO

DELIVERY ADDRESS
Name and Surname :
  
Address 1 :
  
Address 2 :
 
Zip Code :
 
City :
  
State :
  
Country :
  
Email address* :
  
Telephone :