Request form – Pancarte Express

Informations client

Do you have an account with us?*

Yes
No

Full name

First Last

Your banner

Email*

Billing address*

Street Address City Postal Code

Phone*

Service requested

Type*

Residential request
Commercial quote
Account opening

Do we need to pick up materials?*

Yes, at a specific address
No, materials will be drop off a the warehouse

Complete address where pick up the materials*

Service*

Complete address where to pickup your material*

Please specify the add-on installation*

I want to rent an add-on
I want a personnalized add-on

Details on personnalized add-on*

Please specify where the add-on will be installed*

In the ground
On the ramp
On the balcony
On a wall

Please specify the installation of the add-on on the balcony*

With an appointment
Without ladder
With a 6 foot ladder
With a 12 foot ladder

Please specify the installation of the add-on on a wall*

Without a ladder
With a 6 foot ladder
With a 12 foot ladder

Please specify where the sign will be installed*

In the ground
On the ramp
On the balcony
On a wall

Please specify the installation on the balcony*

With a appointment
Without ladder
With 6 foot ladder
With 12 foot ladder

Please specify the installation on a wall*

Without ladder
With 6 foot ladder
With 12 foot ladder

Please specify where is the sign to remove*

In the ground
On the ramp
On the balcony
On a wall

Please specify the sign to remove on the balcony*

With an appointment
Without ladder
With 6 foot ladder
With 12 foot ladder

Please specify the sign to remove a the wall*

Without ladder
With 6 foot ladder
Without 12 foot ladder

Would you like to rent an add-on?

Yes
No

Please select the add-on you would like to rent*

Would you like to have a personnalized add-on? If yes, please give some details.

Please specify the open house*

Install
Install and remove

Open house date*

Additionnal informations

Service*

Install a sign
Remove a sign

Please specify where to install the sign*

In the ground
On the wall

Please specify the installation on the wall*

Please specify the sign installation in the ground*

On the grass
On concrete

Please specify the installation in the ground on the grass*

1 face
V Shaped

Please specify the installation in the ground on concrete*

1 face
V shaped

Size of the sign

Height*

Length*

Where will the sign be installed or remove?

Complete address where the sign will be installed or removed*

Intersection

Documents to join

Join a file (Optional)

Delay

Please specify the installation delay

Fast 24h-72h (Standard)
This week
Today before midnight (must be confirmed by calling 514-825-2709)
Tomorrow before noon (must be confirmed by calling 514-825-2709)
Tomorrow before midnight
Specific date

Date*

Confirmation

Please specify the confirmation type desired*

None
Confirmation by E-mail when the job is done (1,50$)
Confirmation by photo when the job is done (3,00$)

Method of payment

Please specify the desired payment method*

Charged to your account

Please specify the desired payment method*

Pay by Internet

Notes

PANCARTE EXPRESS WILL NOT BE HOLD RESPONSIBLE FOR DAMAGES CAUSED BY OTHERS, VIOLENT WINDS, STORMS, DEFROST. THE APPLICANT MUST DO THE NECESSARY VERIFICATIONS FOR PERMITS AND RESTRICTIONS.