The International Association of Amateur Heralds

IAAH Design Assistance Request Form

Notice

Due to the amount of design work on hand, it may take a little while for you to receive a response from the IAAH. We presently have a backlog of requests so your patience would be appreciated. An IAAH representative will contact you via email as soon as possible with further information/instructions. All text fields marked with an asterisk * must be filled in.

A. ...Contact details

* Pre-nominal (Mr, Ms, Mrs, etc)

* First Name

* Last Name (Please use UPPERCASE)

* Street Address

Address Line 2

* City

State/Province/Region

* Zip/Postal Code

* Phone Number

* Country

* Email Address

B. ...Heraldry Assistance Details

* Do you require the assistance of a herald to design the arms?

Yes

* Do you require the assistance of an artist to create the arms?

Yes

* Do you plan on registering the arms/petition for a grant of arms and require assistance?

Yes

* Please describe why you are interested in creating your arms -

* Please enter your design requirements/ideas on the particular arms:

Feel free to enter any other comments or information with respect to your request:

Privacy and Confidentiality

The requester understands that the collection of information in this online design request form is for the sole purpose of the design and creation of arms in response to the request. All information provided in that regard shall not be used for the purpose of promoting products and/or services of any kind. Should some material become available online (e.g. the arms and other relevant information as authorised by the requester), the IAAH cannot provide any guarantee as to the safe and/or authorised usage of such information and therefore disclaims all accountability in that regard. The requester understands these conditions and will select either "Yes" in agreement or "No" in disagreement. By not selecting either "Yes" or "No", the IAAH will assume that the requester is in agreement.

Yes

* Indicates Response Required

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