Application Petition to; DOUGLAS, Baron de Clermont, for the Rank, Style, Dignity, Honour and Title of Viscount (or Viscountess) ________________________________________________________________________ (State Title requested, along with desired Locale – i.e. “Count Smith of Smithton”.) One may employ CLERMONT, or TORNESE, the late Medieval name for the Castle of the Barons of Clermont, as one’s territorial designation if one wishes.  A current or Ancestral Locale may also be used as a territorial designation, upon approval by the Baron. (His Excellency, The Prince DOUGLAS, St. Michel de Clermont, still retains the older Title of Baron de Clermont, and makes Grants of Nobility at the Rank of Viscount or Viscountess in that Capacity.) I enclose the Fee of $750 (US) to defray the cost of the Instruments of Investiture:   _________________________________________________________________________________ ________________________________________________________________________ Your Full Name (print block letters) as it is to appear on Certificate   Your Contact Telephone Number with Full Dialling Code (Landline/Cellphone/Mobile)   ______________________________________________________________   Oath of Fealty to the Baron de Clermont I solemnly Pledge to uphold all the Principles of Chivalry, Honour, Justice, Truth & Charity; I further Swear in my Capacity of Viscount(ess) to always add Lustre as my Fealty to the Barony of Clermont, of the Latin Empire of Constantinople.   _____________________________________________________________ Signature ____________________________ Date (Photocopy of this document will be accepted; signature of Applicant must be original.) There are no annual dues or other Fees. Payment may be made via Money Order, Bank Draught or Certified Cheque.  (Personal cheques require 4 – 8 weeks to clear.)   Please make all payments in favour of our Agents: The Principality of St. Michel de Clermont Per: NOBILITAT REGALIA-CB P.O. Box #1944, Victoria, BC, Canada, V8W 3A8     Please e-mail  all inquiries to the Prince's GRAND SECRETARY Include a Postal Address for further information (all Postal Addresses are to be held in strict confidence and will not be shared, sold or traded). Thank You. Or Post to our Agents via Snail Mail NOBILITAT REGALIA-CB c/o The Chancellery, P.O. Box #1944,  Victoria, BC, Canada,  V8W 3A8