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\ltrch\fcs0 \cs19\insrsid10031987 I understand that with my submission I automatically give permission for the Society for Creative Anachronism to use my artwork and armory for 
\par any and all internal heraldic and scribal purposes.  I have seen and approve all elements of this submission.  
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\fs16\insrsid10031987 Instructions: Give four colored copies and one line drawing to your local herald. Make checks payable to your local branch or "Kingdom of Atenveldt, SCA, Inc.".}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
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\cs19\fs18\insrsid10031987 Local\cell }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \cs19\fs28\insrsid10031987 \cell \cell \cell \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph107\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1187\clshdrawnil \cellx1080\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1710\clshdrawnil \cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth3420\clshdrawnil \cellx7650\clvertalt\clbrdrt\brdrs\brdrw15 
\clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx9450\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx10980\row \ltrrow}\pard \ltrpar\qr \li0\ri0\sb60\widctlpar\intbl\wrapdefault\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 Kingdom\cell }\pard \ltrpar
\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \cs19\fs28\insrsid10031987 \cell \cell \cell \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph107\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1187\clshdrawnil \cellx1080\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1710\clshdrawnil \cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth3420\clshdrawnil \cellx7650\clvertalt\clbrdrt\brdrs\brdrw15 
\clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx9450\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx10980\row \ltrrow}\trowd \irow3\irowband3\lastrow \ltrrow\ts11\trgaph107\trleft-107\trkeep\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1187\clshdrawnil \cellx1080\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1710\clshdrawnil 
\cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 
\clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5220\clshdrawnil \cellx9450\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx10980\pard \ltrpar
\qr \li0\ri0\sb60\widctlpar\intbl\wrapdefault\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 Laurel\cell }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 
\af1\afs28 \ltrch\fcs0 \cs19\fs28\insrsid10031987 \cell }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 \cell }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \cs19\fs28\insrsid10031987 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \trowd \irow3\irowband3\lastrow \ltrrow
\ts11\trgaph107\trleft-107\trkeep\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1187\clshdrawnil \cellx1080
\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1710\clshdrawnil \cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5220\clshdrawnil \cellx9450\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx10980\row }\pard\plain \ltrpar\s16\ql \li0\ri0\sb60\widctlpar
\tqc\tx5103\tx6930\tqr\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs14\alang1025 \ltrch\fcs0 \f1\fs14\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \tab \tab 
 Laurel v. 2.0; Atenveldt v2.1 (Laurel Approved [26 Jun 2008])
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\s18\ql \li0\ri0\widctlpar\tldot\tx8460\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 
\rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8314\shptop-28\shpright10894\shpbottom2568\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1026{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 65536}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn hspNext}{\sv 1026}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fShadow}{\sv 0}}
{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\shptxt \ltrpar \pard\plain \ltrpar\ql \li144\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin144\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 Action Type }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\fs18\insrsid10031987 New}{\rtlch\fcs1 \af1\afs18 
\ltrch\fcs0 \fs18\insrsid10031987 
\par \tab Resubmission
\par }\pard\plain \ltrpar\s22\ql \li0\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\insrsid10031987 \tab \tab Kingdom
\par \tab \tab Laurel\tab 
\par }\pard\plain \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 \tab Change, if registered:
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab \tab release old badge
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\tldot\tx2430\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab \tab \tab 
\par \tab \tab \tab 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 \tab \tab retain old badge(s)}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 

\par }\pard \ltrpar\ql \fi-486\li630\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin630\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab Appeal (attach justification)                     
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab Other (specify) 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li144\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin144\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 Action Type }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\fs18\insrsid10031987 New}{\rtlch\fcs1 \af1\afs18 
\ltrch\fcs0 \fs18\insrsid10031987 
\par \tab Resubmission
\par }\pard\plain \ltrpar\s22\ql \li0\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\insrsid10031987 \tab \tab Kingdom
\par \tab \tab Laurel\tab 
\par }\pard\plain \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 \tab Change, if registered:
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab \tab release old badge
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\tldot\tx2430\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab \tab \tab 
\par \tab \tab \tab 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\tx630\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 \tab \tab retain old badge(s)}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 

\par }\pard \ltrpar\ql \fi-486\li630\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin630\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab Appeal (attach justification)                     
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\tx360\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 \tab Other (specify) 
\par }\pard \ltrpar\ql \li144\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin144\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 
\par }}\dpx8314\dpy-28\dpxsize2580\dpysize2596\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinehollow}}}
{\shp{\*\shpinst\shpleft8445\shptop194\shpright8632\shpbottom381\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz7\shplid1027{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199\dprect\dpx8445\dpy194\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft5929\shptop694\shpright8314\shpbottom2043\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 131072}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn hspNext}{\sv 1028}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 3175}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\shptxt \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 This name is }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 (pick one):}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 [  ]\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 already registered
\par }\pard\plain \ltrpar\s22\ql \fi-900\li900\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin900\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\insrsid10031987 [  ]}{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs19\insrsid10031987 \tab submitted with this device 
\par }\pard\plain \ltrpar\ql \fi-270\li270\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin270\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 [  ]}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 \tab previously submitted from the Kingdom of
\par }\pard\plain \ltrpar\s22\ql \fi547\li0\ri0\sb120\widctlpar\tlul\tx2340\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\cs19\insrsid10031987 \tab 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 This name is }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 (pick one):}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\insrsid10031987 [  ]\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 already registered
\par }\pard\plain \ltrpar\s22\ql \fi-900\li900\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin900\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\insrsid10031987 [  ]}{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs19\insrsid10031987 \tab submitted with this device 
\par }\pard\plain \ltrpar\ql \fi-270\li270\ri0\widctlpar\tx270\wrapdefault\faauto\adjustright\rin0\lin270\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\fs18\insrsid10031987 [  ]}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 \tab previously submitted from the Kingdom of
\par }\pard\plain \ltrpar\s22\ql \fi547\li0\ri0\sb120\widctlpar\tlul\tx2340\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\cs19\insrsid10031987 \tab 
\par }}\dpx5929\dpy694\dpxsize2385\dpysize1349\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\rtlch\fcs1 \af1\afs32 \ltrch\fcs0 \cs17\fs32\insrsid10031987 Society Name}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \insrsid10031987 \tab  
\par }\pard \ltrpar\s18\ql \li0\ri0\sb60\widctlpar\tldot\tx8280\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8445\shptop45\shpright8632\shpbottom232\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1029{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200\dprect\dpx8445\dpy45\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft8686\shptop241\shpright8873\shpbottom428\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1030{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8202\dprect\dpx8686\dpy241\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 Name this badge is to be associated with\tab }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par }\pard \ltrpar\s18\ql \li0\ri0\sb60\widctlpar\tldot\tx5850\tx8222\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8686\shptop172\shpright8873\shpbottom359\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1031{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8203\dprect\dpx8686\dpy172\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 Legal name\tab 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 {\shp{\*\shpinst\shpleft8445\shptop94\shpright8632\shpbottom281\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz9\shplid1032
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8201\dprect
\dpx8445\dpy94\dpxsize187\dpysize187\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft5911\shptop-2\shpright6098\shpbottom185\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz6\shplid1033{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8198\dprect\dpx5911\dpy-2\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft5911\shptop193\shpright6098\shpbottom380\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz5\shplid1034{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8197\dprect\dpx5911\dpy193\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 Address  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\fs16\insrsid10031987 (complete)}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \tab 
\par }\pard \ltrpar\s18\ql \li0\ri0\sb60\widctlpar\tx180\tldot\tx5850\tx8222\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8686\shptop15\shpright8873\shpbottom202\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1035{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8204\dprect\dpx8686\dpy15\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft5911\shptop99\shpright6098\shpbottom286\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid1036{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196\dprect\dpx5911\dpy99\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 (}
{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 incl}{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs19\insrsid10031987 .}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987  city, state, zip}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\fs16\insrsid10031987 )}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \tab 
\par }\pard\plain \ltrpar\s20\ql \li0\ri0\sb60\widctlpar\tldot\tx6300\tx8222\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \insrsid10031987 Branch Name\tab \tab 
\par }\pard \ltrpar\s20\ql \li0\ri0\sb60\widctlpar\tldot\tx3960\tldot\tx6300\tx8222\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8686\shptop39\shpright8873\shpbottom226\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1037{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8205\dprect\dpx8686\dpy39\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft8445\shptop250\shpright8632\shpbottom437\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1038{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8206\dprect\dpx8445\dpy250\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 Phone Number\tab Date of Birth\tab 
\par }\pard \ltrpar\s20\ql \li0\ri0\sb60\widctlpar\tldot\tx3960\tldot\tx8370\tx8730\tldot\tx10490\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft8445\shptop172\shpright8632\shpbottom359\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz15\shplid1039{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8207\dprect\dpx8445\dpy172\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 E-mail Address\tab Date Submitted\tab }{\rtlch\fcs1 \af1\afs18 
\ltrch\fcs0 \cs19\fs18\insrsid10031987 
\par }\pard \ltrpar\s20\ql \li0\ri0\sb60\widctlpar\tldot\tx3960\tldot\tx8280\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 Consulting Herald\tab Herald's E-mail/Phone\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\fs16\insrsid10031987 
\par }\pard\plain \ltrpar\ql \li0\ri0\sb60\widctlpar\brdrt\brdrdb\brdrw15\brsp20 \tx3780\tx6570\tx6840\tx7650\tx7920\wrapdefault\faauto\adjustright\rin0\lin0\rtlgutter\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft-11\shptop149\shpright3619\shpbottom4339\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz3\shplid1040{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 196608}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn hspNext}{\sv 1040}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 3175}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\shptxt \ltrpar \pard\plain \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 
\ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 If using any restricted charges, please give Kingdom and date of eligibility for that charge.
\par 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\brdrb\brdrs\brdrw15\brsp20 \tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\tx270\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 
Check here for a fieldless badge 
\par \tab (no particular background)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb60\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 Proposed Blazon  (Consult a herald if possible.  Use plain English if you don\rquote 
t know how to blazon.)
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs19\insrsid10031987 Blazon as submitted on LoI}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987  
\par (Kingdom Use Only)
\par 
\par }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \cs19\b\fs16\insrsid10031987 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8195\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 
\f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 If using any restricted charges, please give Kingdom and date of eligibility for that charge.
\par 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\brdrb\brdrs\brdrw15\brsp20 \tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb20\widctlpar\tx270\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987 
Check here for a fieldless badge 
\par \tab (no particular background)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb60\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 Proposed Blazon  (Consult a herald if possible.  Use plain English if you don\rquote 
t know how to blazon.)
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tldot\tx3240\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \cs19\insrsid10031987 Blazon as submitted on LoI}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs19\fs16\insrsid10031987  
\par (Kingdom Use Only)
\par 
\par }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \cs19\b\fs16\insrsid10031987 
\par }}\dpx-11\dpy149\dpxsize3630\dpysize4190\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}
{\shp{\*\shpinst\shpleft7652\shptop136\shpright7839\shpbottom323\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz18\shplid1041{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8210\dprect\dpx7652\dpy136\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft6562\shptop136\shpright6749\shpbottom323\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz17\shplid1042{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8209\dprect\dpx6562\dpy136\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \cs19\fs18\insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\fs16\insrsid10031987 Is this badge jointly owned?\tab \tab Yes}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\fs16\insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab No}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\cs19\fs18\insrsid10031987 
\par }\pard\plain \ltrpar\s22\ql \li0\ri0\sb60\widctlpar\tx3780\tx4680\tldot\tx10710\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs18\alang1025 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 If Yes, co-owner\rquote s Society Name}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs23\fs16\insrsid10031987 \tab 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb40\widctlpar\tx3780\tx4050\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shp{\*\shpinst\shpleft3785\shptop4519\shpright10240\shpbottom4786\shpfhdr0\shpbxcolumn\shpbxignore\shpbypage\shpbyignore\shpwr4\shpwrk0\shpfblwtxt0\shpz19\shplid1043{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 262144}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn hspNext}{\sv 1043}}
{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn pWrapPolygonVertices}{\sv 8;5;(-214,0);(-214,21600);(21814,21600);(21814,0);(-214,0)}}{\sp{\sn dxWrapDistLeft}{\sv 0}}
{\sp{\sn dxWrapDistRight}{\sv 0}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\shptxt \ltrpar \pard\plain \ltrpar
\s28\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs16\alang1025 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
(Note: the square below should be approximately 4.5 inches (11.4 cm) wide when printed)
\par }}}{\shprslt{\*\do\dobxcolumn\dobypage\dodhgt8211\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\s28\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs16\alang1025 \ltrch\fcs0 
\f1\fs16\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 (Note: the square below should be approximately 4.5 inches (11.4 cm) wide when printed)
\par }}\dpx3785\dpy4519\dpxsize6455\dpysize267\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\fs16\insrsid10031987 \tab 
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tx3780\tx4680\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\insrsid10031987 \tab 
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tx4320\tx4680\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid10031987 
{\shpgrp{\*\shpinst\shpleft3883\shptop4815\shpright10794\shpbottom11756\shpfhdr0\shpbxcolumn\shpbxignore\shpbypage\shpbyignore\shpwr4\shpwrk0\shpfblwtxt0\shpz0\shplid1044
{\sp{\sn groupLeft}{\sv 4560}}{\sp{\sn groupTop}{\sv 4815}}{\sp{\sn groupRight}{\sv 11471}}{\sp{\sn groupBottom}{\sv 11756}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn pWrapPolygonVertices}{\sv 8;23;(10683,0);(141,187);(469,746)
;(469,10450);(-47,10683);(-47,10777);(469,11197);(422,20900);(94,21273);(234,21320);(10730,21553);(10964,21553);(21506,21413);(21131,20900);(21131,11197);(21600,10870);(21600,10683);(21131,10450);(21131,746)
;(21553,233);(21085,187);(10917,0);(10683,0)}}{\sp{\sn posrelh}{\sv 2}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\shp{\*\shpinst\shplid1045{\sp{\sn relLeft}{\sv 4758}}
{\sp{\sn relTop}{\sv 5019}}{\sp{\sn relRight}{\sv 11285}}{\sp{\sn relBottom}{\sv 11547}}{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 1}}
{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn pWrapPolygonVertices}{\sv 8;5;(-45,-45);(-45,21600);(21645,21600);(21645,-45);(-45,-45)}}{\sp{\sn lidRegroup}{\sv 1}}
{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}{\shp{\*\shpinst\shplid1046{\sp{\sn relLeft}{\sv 4614}}{\sp{\sn relTop}{\sv 11533}}
{\sp{\sn relRight}{\sv 4745}}{\sp{\sn relBottom}{\sv 11649}}{\sp{\sn fRelFlipH}{\sv 1}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;7;(-4320,0);(12960,21600);(15120,21600);(23760,21600);(25920,21600);(6480,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}
{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}{\shp{\*\shpinst\shplid1047{\sp{\sn relLeft}{\sv 11278}}{\sp{\sn relTop}{\sv 4883}}{\sp{\sn relRight}{\sv 11394}}{\sp{\sn relBottom}{\sv 5014}}{\sp{\sn fRelFlipH}{\sv 1}}
{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;7
;(-4320,0);(12960,21600);(15120,21600);(23760,21600);(25920,21600);(6480,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}
{\shp{\*\shpinst\shplid1048{\sp{\sn relLeft}{\sv 11277}}{\sp{\sn relTop}{\sv 11547}}{\sp{\sn relRight}{\sv 11407}}{\sp{\sn relBottom}{\sv 11677}}{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}
{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;7;(-4320,0);(12960,21600);(15120,21600);(23760,21600);(25920,21600)
;(6480,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}{\shp{\*\shpinst\shplid1049{\sp{\sn relLeft}{\sv 4628}}{\sp{\sn relTop}{\sv 4883}}
{\sp{\sn relRight}{\sv 4759}}{\sp{\sn relBottom}{\sv 5014}}{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}
{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;7;(-4320,0);(12960,21600);(15120,21600);(23760,21600);(25920,21600);(6480,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}
{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}{\shp{\*\shpinst\shplid1050{\sp{\sn relLeft}{\sv 4560}}{\sp{\sn relTop}{\sv 8283}}{\sp{\sn relRight}{\sv 4756}}{\sp{\sn relBottom}{\sv 8283}}{\sp{\sn fRelFlipH}{\sv 1}}
{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;5
;(-4320,0);(-4320,0);(23760,0);(23760,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}
{\shp{\*\shpinst\shplid1051{\sp{\sn relLeft}{\sv 11275}}{\sp{\sn relTop}{\sv 8283}}{\sp{\sn relRight}{\sv 11471}}{\sp{\sn relBottom}{\sv 8283}}{\sp{\sn fRelFlipH}{\sv 1}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}
{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;5;(-4320,0);(-4320,0);(23760,0);(23760,0);(-4320,0)}}{\sp{\sn lidRegroup}{\sv 1}}
{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}{\shp{\*\shpinst\shplid1052{\sp{\sn relLeft}{\sv 8028}}{\sp{\sn relTop}{\sv 4815}}
{\sp{\sn relRight}{\sv 8028}}{\sp{\sn relBottom}{\sv 5011}}{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}
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{\shp{\*\shpinst\shplid1053{\sp{\sn relLeft}{\sv 8041}}{\sp{\sn relTop}{\sv 11560}}{\sp{\sn relRight}{\sv 8041}}{\sp{\sn relBottom}{\sv 11756}}{\sp{\sn fRelFlipH}{\sv 0}}{\sp{\sn fRelFlipV}{\sv 0}}{\sp{\sn shapeType}{\sv 20}}{\sp{\sn shapePath}{\sv 4}}
{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15875}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn pWrapPolygonVertices}{\sv 8;5;(0,0);(0,20057);(0,20057);(0,0);(0,0)}}{\sp{\sn lidRegroup}{\sv 1}}
{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fEditedWrap}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}}}{\shprslt{\*\do\dobxcolumn\dobypage\dodhgt8192\dpgroup\dpcount10\dpx3883\dpy4815\dpxsize6911\dpysize6941\dprect\dpx198\dpy204\dpxsize6527\dpysize6528
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx131\dppty0\dpptx0\dppty116\dpx54\dpy6718\dpxsize131\dpysize116
\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx116\dppty0\dpptx0\dppty131\dpx6718\dpy68\dpxsize116\dpysize131\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx0\dppty0\dpptx130\dppty130\dpx6717\dpy6732\dpxsize130\dpysize130
\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx0\dppty0\dpptx131\dppty131\dpx68\dpy68\dpxsize131\dpysize131\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx196\dppty0\dpptx0\dppty0\dpx0\dpy3468\dpxsize196\dpysize0
\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx196\dppty0\dpptx0\dppty0\dpx6715\dpy3468\dpxsize196\dpysize0\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx0\dppty0\dpptx0\dppty196\dpx3468\dpy0\dpxsize0\dpysize196
\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpline\dpptx0\dppty0\dpptx0\dppty196\dpx3481\dpy6745\dpxsize0\dpysize196\dplinew25\dplinecor0\dplinecog0\dplinecob0\dpendgroup\dpx0\dpy0\dpxsize0\dpysize0}}}
{\shp{\*\shpinst\shpleft-23\shptop15\shpright164\shpbottom202\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz16\shplid1054{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fShadow}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8208\dprect\dpx-23\dpy15\dpxsize187\dpysize187
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tx284\tx567\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \ltrpar\s22\ql \li2880\ri0\sb2000\widctlpar\tx284\tx567\wrapdefault\faauto\adjustright\rin0\lin2880\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par }\pard \ltrpar\s22\ql \li0\ri0\sb2000\widctlpar\tx284\tx567\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid10031987 
\par }\pard \ltrpar\s22\ql \li0\ri0\widctlpar\tx284\tx567\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\fs28\ul\insrsid10031987 
\par }}