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  Flag Order Form:

Please use the form below to send inquiries to Congressman Chet Edwards.

Please use one of these other contact forms if your message is a general inquiry, comment about this site, tour request or an intern application. To update your information in Congressman Edwards constituent folder, click here. To subscribe to Email Lists click here and to unsubscribe from email lists click here.


Prefix: *   First Name: *
Middle Name:
Last Name: * Suffix:
Address: *
City*, State* and Zip*:
Phone: *
E-mail: *
Requested Dates for flag to Be flown: *
Flag will be presented to: *
Special Occasion: *
Flag Selection:
Size Material Price Quantity Line Total
3x5 nylon $9.00 $
3x5 cotton $9.25 $
4x6 nylon $13.50 $
5x8 nylon $18.00 $
5x8 cotton $20.00 $
Fee to fly flag over the Capitol: $4.05 (per flag)
$
Franking Fee: $3.00 (per flag)
Franking fee is not applicable if you pick up the flag from Rep. Edwards's Washington office.
$
Total amount to be enclosed on check $





* = Required
 
     
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