Traffic Street Name Sign Order Form
Order Information
Customer Phone #:
Date:
Customer Name:
Last
First
Street Name* (maximum 21 characters):
Sign color (pick one):
Red
Green
Orange
Blue
The sign size will be 9” x 36” and will be single sided. Street name limited to 21 characters in length. You may pick
from four different sign
colors. Each sign will cost $28 and you must pay for the sign at one of the Cash
Management windows in the lobby of City Hall. After paying we will manufacture the sign and call you for the sign
to be picked up.
Customer Signature
Date
Sign Manufacture
Created by:
Signature
Date
Customer pick up
Picked up by:
Signature
Date
* The City of Beaumont reserves the right to refuse to make any sign deemed inappropriate or offensive.