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 an active member of SCRA.

The SCRA National Awards Committee has the authority to review ALL submitted awards for eligibility prior to processing.

Approver Rank & Name:

must be COL or above

Approver Email: *

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

Has this nomination been endorsed by the Chapter President?

Yes
No

Chapter president (unless COL or above) may NOT approve awards, but may endorse them to assist in approval by the National Board.

Chapter President Rank & Name:

Chapter President Email: *

Memorandum/Justification Letter (PDF preferred) *

Drag & Drop Files, Choose Files 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)

Drag & Drop Files, Choose Files to Upload

Award Citation (Optional)

Drag & Drop Files, Choose Files to Upload

Delivery Option: *

Pick Up (Ft. Gordon/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.