Custom Mirrors Form

Custom Mirror Form AU

Provide details on your custom mirror request, print or save and take to your Remer reseller to start the process.

Name(Required)

First Last

Phone(Required)

Email(Required)

Quantity(Required)

Width (mm)(Required)

Please enter a number less than or equal to 2400.

Your mirror cannot exceed 1200x2400mm / 2400x1200mm

Height (mm)(Required)

Please enter a number less than or equal to 2400.

Your mirror cannot exceed 1200x2400mm / 2400x1200mm

Orientation(Required)

Landscape (Horizontal)

Portrait (Vertical)

Shape(Required)

Arch

Oblong

Rectangle/Square

Soft Rectangle

Round

Organic – Please supply image to reseller

Sandblasting(Required)

Non-sandblasted

Edge Sandblasting

Instep Sandblasting

Lighting(Required)

Standard 4000K

Cool 6500K

Warm 2700K

Adjustable 2700-6500K (Requires a touch sensor)

Lighting colours may vary depending on your bathroom environment.

Controls(Required)

Hardwire (Wall switch not included)

Single Touch Sensor

Multiple Touch Sensors (One Sensor per feature)

Controls(Required)

Single Touch Sensor

Multiple Touch Sensors (One Sensor per feature)

Touch Sensor Location(Required)

Bottom left (do we need to include how multiple buttons will show?)

Bottom centre

Bottom right

Centre left

Centre right

Where on your mirror will be button be placed.

Features(Required)

None

Demister

Bluetooth Speakers

Accessories

Mirage Portable Makeup Mirror

Store

For your reseller to fill out

Sales Person

For your reseller to fill out

Reference Number

For your reseller to fill out

Name

This field is for validation purposes and should be left unchanged.

Submit

Your Custom Mirror Quote is ready to download & share!

Take this to your Selected Remer Reseller and they will organise a quote for you.

Click here to find your local Remer Stockist