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{\title Society Name}{\author x}{\operator x}{\creatim\yr2006\mo4\dy5\hr22}{\revtim\yr2008\mo6\dy29\hr21\min21}{\printim\yr2001\mo10\dy19\hr2\min38}{\version9}{\edmins7}{\nofpages1}{\nofwords20}{\nofchars121}{\*\company x}{\nofcharsws0}{\vern71}}
\margl677\margr677\margt360\margb662 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\lytprtmet\hyphcaps0\formshade\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot \fet0\sectd 
\psz1\sbknone\linex0\headery576\footery648\endnhere\sectdefaultcl {\header \pard\plain \s15\nowidctlpar\widctlpar\tqc\tx5670\tqr\tx10890\adjustright \f1\fs28\lang2057\cgrid {\b\fs24 Atenveldt}{\b \tab }{\b\fs32 \tab }{\b\fs24 Device Submission Form
\par }{\fs24 College of Heralds}{\fs20  \tab \tab 
\par }\pard \s15\nowidctlpar\widctlpar\tx1701\tqc\tx5670\tqr\tx10490\adjustright {\fs2 
\par }}{\footer \pard\plain \s28\nowidctlpar\widctlpar\tldot\tx10440\adjustright \f1\fs16\lang2057\cgrid {\cs19 I understand that with my submission I automatically give permission for the Society 
\par for Creative Anachronism to use my artwork and armory for any and all internal heraldic 
\par and scribal purposes.  I have seen and approve all elements of this submission.  }{\cs19\highlight7 
\par }\pard \s28\sb120\nowidctlpar\widctlpar\tldot\tx4770\tldot\tx10440\adjustright {\cs19 Submitter\rquote s legal signature:\tab Artist\rquote s legal signature:\tab }{\cs19\fs18\highlight7 
\par }\pard\plain \sb60\sa60\nowidctlpar\widctlpar\adjustright \f1\fs20\lang2057\cgrid {\fs16 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.".}{

\par }\trowd \trgaph107\trleft-107 \clvertalt\cltxlrtb \cellx1080\clvertalt\cltxlrtb \cellx2790\clvertalt\cltxlrtb \cellx4230\clvertalt\cltxlrtb \cellx7650\clvertalt\cltxlrtb \cellx9450\clvertalt\cltxlrtb \cellx10980\pard 
\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs18 \cell Amount Received\cell Date Received\cell Action Taken\cell Amount Forwarded\cell Date Forwarded\cell }\pard \nowidctlpar\widctlpar\intbl\adjustright {\row }\trowd \trgaph107\trleft-107 
\clvertalt\cltxlrtb \cellx1080\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx7650\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb 
\cellx9450\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx10980\pard \qr\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs18 Local\cell }\pard 
\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs28 \cell \cell \cell \cell \cell }\pard \nowidctlpar\widctlpar\intbl\adjustright {\row }\pard \qr\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs18 Kingdom\cell }\pard 
\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs28 \cell \cell \cell \cell \cell }\pard \nowidctlpar\widctlpar\intbl\adjustright {\row }\trowd \trgaph107\trleft-107\trkeep \clvertalt\cltxlrtb \cellx1080\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx2790\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx4230\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx9450\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb \cellx10980\pard 
\qr\sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs18 Laurel\cell }\pard \sb60\nowidctlpar\widctlpar\intbl\adjustright {\cs19\fs28 \cell }{\cs19\fs16 \cell }{\cs19\fs28 \cell \cell }\pard \nowidctlpar\widctlpar\intbl\adjustright {\row }\pard\plain 
\s16\sb60\nowidctlpar\widctlpar\tqc\tx5103\tx6930\tqr\tx10490\adjustright \f1\fs14\lang2057\cgrid {\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
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{\shp{\*\shpinst\shpleft5929\shptop334\shpright8314\shpbottom1683\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz3\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 0}}{\sp{\sn lineWidth}{\sv 3175}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fShadow}{\sv 0}}{\shptxt \pard\plain \nowidctlpar\widctlpar\adjustright \f1\fs20\lang2057\cgrid {\cs19\fs18 This name is }{\cs19\fs16 (pick one):}{\fs18 
\par }\pard \nowidctlpar\widctlpar\tx270\adjustright {\fs18 \tab }{\cs19\fs18 already registered
\par }\pard\plain \s22\fi-900\li900\nowidctlpar\widctlpar\tx270\adjustright \f1\fs18\lang2057\cgrid {\tab }{\cs19 submitted with this device 
\par }\pard\plain \fi-270\li270\nowidctlpar\widctlpar\tx270\adjustright \f1\fs20\lang2057\cgrid {\fs18 \tab }{\cs19\fs18 previously submitted from the Kingdom of
\par }\pard\plain \s22\fi547\sb120\nowidctlpar\widctlpar\tlul\tx2340\adjustright \f1\fs18\lang2057\cgrid {\cs19 \tab 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8195\dptxbx{\dptxbxtext\pard\plain \nowidctlpar\widctlpar\adjustright \f1\fs20\lang2057\cgrid {\cs19\fs18 This name is }{\cs19\fs16 (pick one):}{\fs18 
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\par }\pard\plain \s22\fi-900\li900\nowidctlpar\widctlpar\tx270\adjustright \f1\fs18\lang2057\cgrid {\tab }{\cs19 submitted with this device 
\par }\pard\plain \fi-270\li270\nowidctlpar\widctlpar\tx270\adjustright \f1\fs20\lang2057\cgrid {\fs18 \tab }{\cs19\fs18 previously submitted from the Kingdom of
\par }\pard\plain \s22\fi547\sb120\nowidctlpar\widctlpar\tlul\tx2340\adjustright \f1\fs18\lang2057\cgrid {\cs19 \tab 
\par }}\dpx5929\dpy334\dpxsize2385\dpysize1349\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}
{\shp{\*\shpinst\shpleft8446\shptop253\shpright8633\shpbottom440\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz8\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}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200\dprect\dpx8446\dpy253\dpxsize187\dpysize187
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{\shp{\*\shpinst\shpleft8314\shptop31\shpright10894\shpbottom2392\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz1\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 1}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fShadow}{\sv 0}}{\shptxt 
\pard\plain \li144\nowidctlpar\widctlpar\adjustright \f1\fs20\lang2057\cgrid {\cs19\fs18 Action Type}{\fs18 
\par }\pard \li144\nowidctlpar\widctlpar\tx360\adjustright {\fs18 \tab }{\b\fs18 New}{\fs18 
\par \tab Resubmission
\par }\pard\plain \s22\nowidctlpar\widctlpar\tx360\tx630\adjustright \f1\fs18\lang2057\cgrid {\tab \tab Kingdom
\par \tab \tab Laurel\tab 
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\par }\pard \li144\nowidctlpar\widctlpar\adjustright {\fs18 
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\par }\pard \li144\nowidctlpar\widctlpar\adjustright {\fs18 
\par }}\dpx8314\dpy31\dpxsize2580\dpysize2361\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinehollow}}}}{\cs17\fs32 Society Name}{\tab  
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{\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}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199\dprect\dpx5911\dpy196\dpxsize187\dpysize187
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{\shp{\*\shpinst\shpleft8446\shptop81\shpright8633\shpbottom268\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz9\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}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8201\dprect\dpx8446\dpy81\dpxsize187\dpysize187
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{\shp{\*\shpinst\shpleft8686\shptop198\shpright8873\shpbottom385\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1032{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
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{\shp{\*\shpinst\shpleft8686\shptop3\shpright8873\shpbottom190\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1033{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
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\par }\pard \s18\sb60\nowidctlpar\widctlpar\tx180\tldot\tx5850\tx8222\tldot\tx10490\adjustright {\lang1024 {\shp{\*\shpinst\shpleft5911\shptop9\shpright6098\shpbottom196\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz5\shplid1034
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{\shp{\*\shpinst\shpleft8446\shptop120\shpright8633\shpbottom307\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1035{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
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{\shp{\*\shpinst\shpleft8686\shptop222\shpright8873\shpbottom409\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1036{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
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\par }}\dpx3502\dpy31\dpxsize7707\dpysize9295\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr17\dpfillbgcg0\dpfillbgcb0\dpfillpat0\dplinehollow}}}
{\shp{\*\shpinst\shpleft-11\shptop149\shpright3619\shpbottom4289\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid1041{\sp{\sn shapeType}{\sv 1}}{\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 1041}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 3175}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fShadow}{\sv 0}}{\shptxt \pard\plain \s22\sb20\nowidctlpar\widctlpar\tldot\tx3240\adjustright \f1\fs18\lang2057\cgrid {\fs16 If using any restricted charges, please give Kingdom and date of eligibility for that charge.
\par 
\par }\pard \s22\sb20\nowidctlpar\widctlpar\brdrb\brdrs\brdrw15\brsp20 \tldot\tx3240\adjustright {\fs16 \tab 
\par }\pard \s22\sb20\nowidctlpar\widctlpar\tldot\tx3240\adjustright {\fs16 Proposed Blazon  (Consult a herald if possible.  Use plain English if you don\rquote t know how to blazon.)
\par }\pard \s22\nowidctlpar\widctlpar\tldot\tx3240\adjustright {
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\cs19 Blazon as submitted on LoI}{\cs19\fs16  
\par (Kingdom Use Only)
\par 
\par }{\cs19\b\fs16 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196\dptxbx{\dptxbxtext\pard\plain \s22\sb20\nowidctlpar\widctlpar\tldot\tx3240\adjustright \f1\fs18\lang2057\cgrid {\fs16 
If using any restricted charges, please give Kingdom and date of eligibility for that charge.
\par 
\par }\pard \s22\sb20\nowidctlpar\widctlpar\brdrb\brdrs\brdrw15\brsp20 \tldot\tx3240\adjustright {\fs16 \tab 
\par }\pard \s22\sb20\nowidctlpar\widctlpar\tldot\tx3240\adjustright {\fs16 Proposed Blazon  (Consult a herald if possible.  Use plain English if you don\rquote t know how to blazon.)
\par }\pard \s22\nowidctlpar\widctlpar\tldot\tx3240\adjustright {
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\cs19 Blazon as submitted on LoI}{\cs19\fs16  
\par (Kingdom Use Only)
\par 
\par }{\cs19\b\fs16 
\par }}\dpx-11\dpy149\dpxsize3630\dpysize4140\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\cs19\fs18 
\par }\pard\plain \s22\nowidctlpar\widctlpar\tx284\tx567\adjustright \f1\fs18\lang2057\cgrid {
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \s22\li2880\sb2000\nowidctlpar\widctlpar\tx284\tx567\adjustright {
\par }\pard \s22\sb2000\nowidctlpar\widctlpar\tx284\tx567\adjustright {
\par }\pard \s22\nowidctlpar\widctlpar\tx284\tx567\adjustright {\lang1024 {\shp{\*\shpinst\shpleft8763\shptop11444\shpright10581\shpbottom12445\shpfhdr0\shpbxcolumn\shpbypage\shpwr4\shpwrk0\shpfblwtxt0\shpz0\shplid1042
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 327680}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\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 fEditedWrap}{\sv 0}}{\shptxt \pard\plain 
\s28\nowidctlpar\widctlpar\adjustright \f1\fs16\lang2057\cgrid {(Note: the shield shape should be approximately 5 inches (12.7 cm) wide and 6 inches (15.2 cm) tall when printed)
\par }}}{\shprslt{\*\do\dobxcolumn\dobypage\dodhgt8192\dptxbx{\dptxbxtext\pard\plain \s28\nowidctlpar\widctlpar\adjustright \f1\fs16\lang2057\cgrid {
(Note: the shield shape should be approximately 5 inches (12.7 cm) wide and 6 inches (15.2 cm) tall when printed)
\par }}\dpx8763\dpy11444\dpxsize1818\dpysize1001\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\b\fs28\ul 
\par }}