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Order Form.Pdf 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 Lapel Pin ------------------------------------------------------------------------------------------------------------------ 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 Necklace ---------------------------------------------------------------------------------------------------------------- 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 engraving 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 ring 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 Gold 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 .
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