Insignia Emblematic Creations

The Past Eminent Commander Jewel
from
Insignia Emblematic Creations

Please use this form to order your custom Past Eminent Commander Jewel. If you like, you may also e-mail us at info@insignia-emblematic-creations.com for more information.

After completing this form, you will recieve a confirmation email. Please print the email and include it with your payment.

Your personalized jewel will be created after payment is received. Payment instructions are at the bottom of this form and will also be included in your confirmation email.

Please be sure your phone number and email address are accurate so that we may contact you if we have any questions about your jewel.

We thank you for your interest in getting your jewel from Insignia Emblematic Creations.

Shipping Information

Name A value is required.

Mailing Address Line 1 A value is required.

Mailing Address Line 2 A value is required.

City A value is required., State A value is required., Zip Code A value is required.

Phone Number A value is required.

Fax Number A value is required.

Email Address A value is required.

Jewel Information
One Past Eminent Commander Jewel
(Please Enter All Information)

Commandery Name A value is required.

Commandery Number A value is required.

Name of Commander A value is required.

Date of Service A value is required.

Questions/Comments/Special Requests

Questions/Comments/Special Instructions A value is required.

The cost of the Past Eminent Commander Jewel is
$81.50 plus
$7.95 shipping
$5.37 state sales tax
Total: $94.82.

Price includes engraving and case.

Please forward your payment to:
Insignia-Emblematic-Creations, LLC
P.O. Box 100
Bala Cynwyd, PA 19004