Know all gentles by these presents that We, <King> and <Queen>, King and Queen of
Artemisia, in recognition that Our subject <name> has once reigned as King in Our realm do hereby acknowledge him (Count/Earl). We do affirm his sole and exclusive right to bear the following arms by Letters Patent in the Society for Creative Anachronism: <blazon>. In witness whereof We set Our hands and seal this ___ day of ___, Anno Societatis ___, being the year two thousand in the Common Era.
Rex Artemisius Regina
[Source: Kingdom of Artemisia Scribal Handbook Part II (pdf)]