Know all men by these Presents that We, (names of King and Queen), King and Queen of Atenveldt, in recognition that Our Subject (name of recipient) has once reigned as Queen in Our Realm do hereby acknowledge her Countess. We do affirm her sole and exclusive Right to bear the following Arms by Letters Patent in the Society for Creative Anachronism, to wit: (blazon).
In Witness Whereof, We set Our Hand this ___ day of ____ Month, Anno Societatis (roman numerals), being (modern date) in the Common Era.
By Mairi Broder
[Source: The Kingdom of Atenveldt Scribe’s Handbook (pdf)]