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PERSONAL
BACKGROUND INFORMATION FOR
THE CREATION OF MY COAT OF ARMS


Please print and completely fill out this form. Print or type.


Last Name  ____________________________________

First Name  ___________________________________

Date of Birth  ________________________________

Place of Birth  _______________________________

Your profession  ______________________________

Your present employment  ______________________

From where do your ancestors come?

_______________________________________________


(Please indicate as exactly as possible the town, province, region, land, country).

Personal Wishes and Suggestions

Please indicate which of the following areas are of greatest importance to you in the process of the designing of your Coat of Arms.

  _____  Family origin

  _____  My profession

  _____  My place of birth

  _____  Town where I live now

  _____  Hobbies

  _____  Special abilities

  _____  Other  ______________________________
         See enclosures for my ideas & suggestions.



PLEASE SEND ME A PROOF OF THE DESIGN OF
THE COAT OF ARMS FOR MY APPROVAL BEFORE IT IS FINALIZED.

OUR GUARANTEE:

The above information will be held in utmost confidence, and will be used only for the commissioning of your Coat of Arms.

THE COMMISSIONING
OF THE COAT OF ARMS

Hereby I commission you to design and prepare my Family Coat of Arms. I understand that the time required for this work is approximately 12-16 weeks.

A   Original drawing of my Coat of Arms in color, matted
           (size  21 x 30 cm)

B   Expert, scientific description of the Coat of Arms

C   Document of the endowment of the Coat of Arms, in a special cover

D   Registration in the "Register of the Coat of Arms" of the
        Nörvenich Castle, Germany.


The total order amounts to:     $1,200 (with book),
                             or $1,000  (without book)
                                  (circle one).

 

Please make your checks payable to: Museum of European Art.

 

MAIL TO:

Consul B. John Zavrel, Chancellor

Order of Alexander the Great

10545 Main Street, Clarence, N.Y. 14031 (USA)

Tel. 716-759-6078, FAX 716-759-7925.

 

We will send you a receipt and a confirmation of our acceptance of your commission.

If you prefer to pay by a credit card, you can do so through our associate, West-Art Gallery & Publishers (located at the same address).

For your convenience, we now accept VISA, MASTER CARD and AMERICAN EXPRESS for telephone, fax and mail orders.

Circle one: ---------Visa ---------Master Card----------American Express

Name on card ______________________________________________

Credit Card number _________________________________________

Expiration date_______________________

 

Please charge my credit card for: US $___________

Signature_________________________________________

 

 

Mailing address:

Consul B. John Zavrel, Chancellor

Order of Alexander the Great

10545 Main Street, Clarence, New York 14031 (USA).

Tel. 716-759-6078 Fax: 716 - 759 -7925.

 

You can also contact us by E-mail at:

zavrel@meaus.com

 

Your own Coat of Arms is created
Step by Step - -
According to all the rules
Of the heraldic art.

For the creation of your Coat of Arms,
even today the strict rules and standards
of the heraldic arts are observed.
This creation of a new Coat of Arms
combines profound expert knowledge
with perfect artistic depiction.

We have found the masters of their
art, who are the best at the execution
of their traditional hand work.
They will create especially for you
an individual, unique, family
Coat of Arms.

YOU
WILL RECEIVE
THE COMPLETE
SET:



Your family Coat of Arms
in color, attractively framed
in a proper matting
size 21 x 30 cm.

The Document regarding the Endowment of the Coat of Arms, which forever proves your identity as the owner of the Coat of Arms, heraldically describes it, and proves the registration and publication in a Register of Coats of Arms.

The expert description of the Coat of Arms, in which you can find out how your personal and family history has been depicted in symbols and colors. All documents are complete.