U.E.M.A. College of Heralds * Device or Badge Submission Form 
 Please send device or badge submissions to The Empire/Kingdom Herald,please remit payment 
in the form of check or money order. 
Payable to UEMA-College of Heralds. Submission fee $3.00
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Society Name:
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Legal Name:
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Address: 
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Phone Number:                    E-Mail
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Date Submitted:                  Date of Birth:
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Consulting Herald:                  Herald's Phone/email:
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If you previously submitted to a Empire/Kingdom which one?
                                                         
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Action Type:Check appropriate box  
  O New submission   O Change
  O Re-submission    O Appeal
  O other/specify                  
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Important Factors:
If the College of Heralds feels a need to suggest possible changes
to you, what elements of the device or badge do you most want to keep?
  O Charge(s)     O Colors     O Other/specify
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Purpose Blazon:
Give the Blazon of your desire, consult a Herald if possible.
If you dont know how to Blazon, give a clear description in english.

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I understand by my submission, I automatically give my permission for UEMA
and The Empire of Ironthorn to use my artwork, device, or badge for any and all
internal heraldic and scholarly purposes.

Signature                                      Date
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Approved by:                                   Date
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Rejected by:                                   Date
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