Be it known by these presents that _____________________, having shown great accomplishment (in the field of or reason for award if known) doth greatly deserve reward. Therefore We, _______________ King of An Tir and ________________, Queen of An Tir, are minded to admit him/her to the right noble Order of the Jambe de Lion. Further, We do hereby honour him/her with a Grant of Arms, and do grant unto him/her [BLAZON]. Henceforth he/she shall have the sole and exclusive right to bear these arms. We acknowledge this by setting here Our Hand and Seal this ____________ day of (month)_____________, A.S. ________, being the year ________ of the common era.
[Source: An Tir College of Scribes site]