York Rite Sovereign College of North America PO Box 368, Denton, NC 27239-0368 Tel: 336- 859-9772 * Email: [email protected] General Membership Items

Men’s ------9.00 each x ______= $______

Cuff Links ------36.00 set x ______= $______

Tie Chain ------26.00 each x ______= $______

Tuxedo Studs, boxed, set of four ------35.00 set x _____ = $______

Button Covers ------7.50 each x ______= $______

Ladies ------35.50 each x ______= $______

Charm ------10.00 each x ______= $______

Local Officer Style

* Officer’s Neck Jewel, must specify office ------90.00 each x ______= $______

* Additional Bar, must specify on this line ------50.00 each x ______= $______

* Past Governor’s Neck Jewel ------90.00 each x ______= $______

Past Governor’s Lapel Pin ------13.00 each x ______= $______

Associate Regent Style

For this style, you must be a recipient of the Order of the Purple Cross. Year received ______

* Associate Regent’s Neck Jewel ------120.00 each x ______= $______

* Additional Bar, must specify engraving on this line ------55.00 each x ______= $______

Tuxedo Studs, boxed, set of four ------35.00 set x ______= $______

Button Covers ------7.50 each x ______= $______

Cuff Links ------36.00 set x ______= $______

Tie Chain ------27.00 each x ______= $______

Men’s Lapel Pin ------12.00 each x ______= $______

Ladies Lapel Pin ------12.00 each x ______= $______

Ladies Necklace ------34.00 each x ______= $______Other

Grand Governor Collar ------35.00 each x ______= $______

Deputy Grand Governor Collar ------28.00 each x ______= $______

Grand Governor Lapel Pin ------17.00 each x ______= $______

Past Grand Governor Lapel Pin ------17.00 each x ______= $______

Gold Honour Award/Pin ------14.00 each x ______= $______

Belt Buckle ------13.00 each x ______= $______

25 Year Lapel Pin (25 years of active membership in York Rite Sovereign College)------11.00 each x ______= $______

25 Year Cuff Links (25 years of active membership in York Rite Sovereign College) ------37.00 set x ______= $______

Printed Material

Membership Certificate (elected member) ------.60 each x ______= $______

Membership Certificate (honorary member) ------.60 each x ______= $______

Ritual/Manual combined (soft cover booklet) ------6.00 each x ______= $______

Ceremonials/Titles & Ranks (soft cover booklet) ------5.00 each x ______= $ _____

Sovereign College Regulations/By-laws (6 binder/filler) ------14.00 each x ______= $______Sovereign College Regulations/By-laws (filler only) ------6.50 each x ______= $______

College Pamphlet (set of 50) ------14.00 set x ______= $______

College Pamphlet (set of 100) ------27.00 set x ______= $_____

College Preview (one issue) ------1.85 each x ______= $_____

College Preview (set of ten) ------17.50 set x ______= $ ____

Pentagon Seals (4 per sheet) ------2.00 sheet x _____ = $______

Official Sovereign College Seal (4 per sheet) ------2.00 sheet x ______= $______

Dues Cards (standard, single cards, set of 100) ------14.00 set x ______= $______

Dues Cards (standard, strip of five, set of 100 ------9.00 set x ______= $______

Dues Cards (charter member, single cards, set of 100) ------14.00 set x ______= $______

Hard Cover 50 Year History Book ------45.00 each x ______= $______

The following paperwork is free of charge however postage/handling will apply. These are also available for downloading off our website: www.yrscna.org

Recommend. for Membership ____ Request for Honour ____ Petition for Dispensation ____ Acceptance of Invitation ____ Purple Cross Nomination ____ Petition for Charter ____ Certificate of Good Standing ____ Service Award ____ Uniform Code of By-laws ____ Notice of Suspension ____ Price List ____ Resolution to amend By-laws____ Withdrawal ____ Articles & Points ____ Instituting a new College ____ Transfer Certificate ____ Duties/Secretary ____ Computer Info. Sheets (CIS) ____ Duties/Grand Governor ____

• DO NOT SUBMIT PAYMENT WITH ORDER; an invoice will accompany your package and is due upon receipt. • PLEASE WRITE INVOICE NUMBER ON ALL CHECKS; to ensure your account is properly credited. • ALL ITEMS ARE TO BE PAID IN U.S. FUNDS. “*” denotes these items can be paid in Canadian funds. • ALL ORDERS SUBJECT TO $4.00 HANDLING CHARGE (exception; Gold Honour Awards) ● REMINDER: UPS will not ship to PO Boxes. Most orders are processed within 10 business days of receipt.

Type of Delivery:  Residential  Business

Ship to (SECRETARY’S NAME) ______College No.______

Address ______

City/State/Province/Zip ______

Daytime Tel ______Fax ______Cell______Email ______

Date submitted by College______

FOR OFFICE USE ONLY:

Order received: ______

Invoice No. ______

Date Shipped: ______

Backordered: ______

Revised 05-10-2021