To: The Supreme Associate Matron

Yes! I am pleased to accept the appointment as a Deputy Supreme Royal Matron or Deputy Supreme Royal Patron.

No - Sorry but I decline the appointment

I will attend Supreme Assembly 2012

I will attend Supreme Assembly 2013

Please send me 2012 Tour information

Please list your Name and Address as you want it to appear in the Directory. Note: all items marked with "*" are required.

Title: Mr. Mrs. Ms. Miss

Full Name: *

E-Mail Address:

Mailing Address

    Street: *

    City: *

    Jurisdiction: *

    ZIP/Postal Code: *

Telephone Number:

Thank you for your support of the Order of Amaranth.

H. L. Barbara Ullrich, Supreme Associate Matron