Historic Plaque Order Form
Thank you for your interest in purchasing a historic plaque for your home. The purpose of the plaque is to designate your home as a Contributing Structure of the Fan Historic District in the National Register of Historic Places.  Part of this process is to confirm the date your home was constructed.

We estimate it will take 6 -8 weeks for new plaques to be available.  The cost for both a Fan District and a Monument Ave plaque will be the same price at $200.  

After you submit your order, you will receive information regarding payment and delivery.  Thank you!
Sign in to Google to save your progress. Learn more
Fan Area Historic District Plaque
Are you replacing an existing historic plaque? *
If you are replacing a plaque, please include the construction year indicated on the existing plaque.
Contruction Year
Would you like a Monument Avenue plaque or a Fan District plaque? *
Required
Contact info
Your name *
Phone number *
E-mail *
Questions and comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy