Petition for Registration of Arms

with The Augustan Society Roll of Arms

I do hereby petition the Heraldry Committee of The Augustan Society, Inc., to register the arms, banner, or badge described below. I understand that arms selected from those registered may be selected for inclusion in The Augustan Omnibus or The Augustan Society Roll of Arms.

1. Please check the type of registration of arms:
   Personal Arms
   Arms of an Ancestor
   Institutional Arms
   Banner or Badge

2. Digital Signature (Please provide your initials in the box):
   Date:
   
   Surname:
   Given names:
   Address:
   Email:
3. Medals (military or civic):
   


4. Knighthoods or ranks in any orders of chivalry:
   

5. Blazon (description) of arms (the description is to be taken verbatim from the patent, if any, or from any other form or source. Do not translate, edit, or change the blazon from the source where his given):

   1. Shield of arms:
      
   2. Crest (Helm and crest):
      
   3. Mantling (if specifically described):
      
   4. Motto (above the crest):
      
   5. Motto (below the shield):
      
   6. Compartment (if any):
      
   7. Supporters (if any):
      


6. Have these arms been previously registered with any roll?
   NoneAmerican College of HeraldryNew England Historical & Genealogical SocietyArmorial Register—International Register of Arms (formerly Burke's)United States Heraldic RegistryOther registry:
   Other Roll:
   


7. Heraldic office or court in which arms are recorded (if any) by way of grant, confirmation, exemplification, or matriculation:
   NoneCanadian Heraldic AuthorityChief Herald of IrelandCollege of Arms (England)Court of the Lord Lyon (Scotland)Cronista Rey de Armas (Spain)South African Bureau of HeraldryOther legitimate granting agency:
   Other grant agency:
   

8. For Ancestral Arms, send documentation of the original grant, plus a lineage to the petitioner, to headquarters@augustansociety.org or by mail to Headquarters.

9. For accuracy, scan and email copies of relevant documentation to headquarters@augustansociety.org, or mail to Headquarters.

Fees for Registration of Arms are as follows:

* These services cannot be ordered online at this time. Please complete this form, but do not make payment; we well contact you about the correct amount.