EXCALIBUR
APPLICATION

TO:  Grand Recorder
        Grand Commandery of Texas
        507 S. Harwood St.
        Dallas, Texas 75201

This is to certify that ____________________________________________________________________ Commandery No. ______, Grand Commandery, Knights Templar of Texas, Templar District No. ______, appointed an Excalibur Award Committee that has nominated Sir Knight __________________ to receive the prestigious Excalibur Award. The above named Commandery duly voted affirmatively that the above named Sir Knight should receive this award and that in accordance with Aritcle 343 of the Statutes and Regulations of the Grand Commandery, Knights Templar of Texas:

       1)  he served his Commandery and Templar Masonry honorably and well,
       2)  he is not now a dais officer (unless he is a Past Commander),
       3)  at least three years have passed since he sat as Commander (if he is a Past Commander),
       4)  he is not a Grand Commandery Officer, and
       5)  at least five years have passed since he sat as Gand Commander (if he is a Past Grand Commander).

Date vote was held:  ____________   Approved:  ____________________________
                                                                                    Eminent Commander

Date Award to be presented:  ________________________________________
(allow at least 6 weeks from date mailed)

Please send the award

To:  ____________________________________  Commandery No _________

Address:  ________________________________________________________

City:  ___________________________________ State: _____  Zip:  _________

Price of Award:    $35.00 (includes Lapel Pin)
Additional Pins are $5.00 each                         Amount enclosed:  $_________

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For Grand Commandery use only

Received: ____________________________  Date Received:  ________________
                                   Grand Recorder

Date Received by Preparer:  ___________  Date Mailed by Preparer:  ______________

                    Award Number:            ______