Bronze Order of Mercury Application

POC/Nominator (Your) Rank:

POC/Nominator (Your) Name: *

First

Last

POC/Nominator Email *

POC/Nominator Phone No:

SCRA Chapter

Awardee Rank: *

Awardee Name: *

First

Last

Suffix:

Rank & Name for Certificate: *

Please write rank & name EXACTLY as it is to appear on the Award Medal & Certificate.
PLEASE NOTE: FULL COST OF AWARD WILL BE CHARGED FOR REPLACEMENTS AS A RESULT OF MISSPELLED NAME OR INCORRECT RANK. ($25 OFF IF MEDAL IS RETURNED)

Awardee SCRA Membership Start Date: *

Awardee must have at least 6 months of membership with the Association.

Awardee SCRA Member ID: *

Membership in the SCRA is required to receive this award.

Award Presentation Date: *

This date will be PRINTED on the certificate.
A $25 Fee will be applied to awards when payment is made within 30 days of presentation date.

Award Presentation Event:

Examples: Signal Ball, Retirement Ceremony, etc.

Approval Method: *

I Have Prior Authority Approval
I Need National Board Approval

This award can be approved by a COL/O6 or above of the Regiment who is also a member of the SCRA.
The National SCRA has the authority to review ALL submitted awards for eligibility prior to processing.

Approver Rank:

Effective 01 Sept 2022, LTC in Command may no longer approve the BOM.

Approver Name:

Approver Email: *

An email will be sent to the approving authority for verification.

Memorandum/Justification Letter (PDF preferred) *

Click or drag a file to this area to upload.

Please ensure that contributions to the Signal Regiment AND the SCRA are included in the write-up.
Please see our sample memo on the BOM Award page for examples.

Additional Nomination Documentation (Optional)

Click or drag a file to this area to upload.

Delivery Option: *

Pick Up (Ft. Eisenhower/Augusta Area)
Ship Award

Shipping address will be required when payment is made.

Anticipated Delivery Date

We cannot guarantee shipping delivery dates.

Preferred Contact Method: *

Call
Text
Email

You will be contacted via the chosen method when your award is ready for pickup.