Know all gentles by these presents that We, <King> and <Queen>, King and Queen of
Artemisia, in recognition that Our subject, <name> (by the valor and skill of her champion/by her valor and skill at arms) has once reigned as Queen in Our realm, do hereby acknowledge her Countess and Lady of the Rose. We hereby affirm her right to bear the following arms by letters patent in the Society for Creative Anachronism, to wit: <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 Gryphus Regina
[Source: Kingdom of Artemisia Scribal Handbook Part II (pdf)]