Greetings unto all gentles and nobles to whom these presents shall come, from King ____________ and Queen ____________ of the Sovereign Kingdom of An Tir. After due consultation with the members of the Order, the excellence and endeavours of Our subject, ________________________ have moved Us to elevate him/her to the most Noble Order of the Laurel, on this __________ day of (month)_____________, A.S. _______ being also ________ of the common era. We affirm by these Letters Patent his/her exclusive right to bear the arms following, [BLAZON]. In testimony whereof, We here set Our Hand and cause the Great Seal of Our Realm to be affixed.
By seal and signature, Black Lion Herald testifies that the armories depicted and blazoned herein belong unto the said ___________________________ to use bear, and show forth at all times.
[Source: An Tir College of Scribes site]