New York Senator Hillary Rodham Clinton
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CONTACT
SENATOR CLINTON
 
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Personal Information
Prefix:
First Name:
Last Name:
Street Address:
Street Address2:
City:
State:
Zip Code: (ex: xxxxx or xxxxx-xxxx)
Phone Number:
E-mail address:
(ex: johndoe@yahoo.com)

Flag Recipient Information
Recipient Name
Recipient Address
 
Recipient City
Recipient State
Recipient Zip (ex: xxxxx or xxxxx-xxxx)
* flag will be mailed to this address

Quantity and Type of Flag
Quantity Flag Type Cost Flying Fee Shipping Fee Total Cost
3x5 Nylon $9.00 $4.05 $4.00 $17.05
3x5 Cotton $9.25 $4.05 $4.00 $17.30
4x6 Nylon $13.50 $4.05 $4.00 $21.55
5x8 Nylon $18.00 $4.05 $4.00 $26.05
5x8 Cotton $20.00 $4.05 $4.00 $28.05
        Grand Total

Date to be Flown:
Please pick a date that is at least two months in advance of today's date and please provide an alternative date if the first is not available.
Preferred Date
Alternate Date

In Honor Of:
If you are having this flag flown in honor of someone or to comemorate a particular event or occasion and would like that information including on the flying certificate, please enter it here.
Names or Names:
In honor of :

Please note that flag orders cannot be processed until payment is received. Please send your check or money order to my office as soon as possible. You must send your payment a MINIMUM of six weeks before the desired flying date. Please allow 6-8 weeks for delivery after the flying date. Checks should made out to 'The Keeper of the Stationery.' Please indicate the flag recipient's name in the memo section of your check. Send your check or money order to:

Senator Hillary Rodham Clinton
Attn: Flag Coordinator
476 Russell Senate Office Building
Washington, D.C. 20008