Print this form and mail it with your check or money order to:
Congresswoman Jane Harman
Attn: Flag Request
2400 Rayburn House Office Building
Washington, DC 20515
Make your check payable to: Congresswoman Harman's Office Supply Account.
Your Information | ||||||
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Name: |
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Address: |
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Daytime Phone: |
Flag Type | Size | Price Each | Flying Fee | Franking Fee | Total Each Flag | Quantity Desired |
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Nylon | 3' x 5' | $ 9.00 | $4.05 | $4.00 | $17.05 | |
Nylon | 4' x 6' | $13.50 | $4.05 | $4.00 | $21.55 | |
Nylon | 5' x 8' | $18.00 | $4.05 | $4.00 | $26.05 | |
Cotton | 3' x 5' | $9.25 | $4.05 | $4.00 | $17.30 | |
Cotton | 5' x 8' | $20.00 | $4.05 | $4.00 | $28.05 | |
Optional Items: |
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Fly the Flag over the Capitol (Flying Fee: $4.05 per flag). If the flag is flown over the Capitol, you will receive a certificate stating for whom the flag was flown as well as the date and occasion for which it was flown. |
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Flag to be flown for: |
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Occasion: |
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To be flown on: |
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Send the Flag to Me (Franking Fee: $4.00 per flag) | ||||||
If the flag is not sent, you must pick up the flag at Congresswoman Harman's office in Washington, D.C. |
Washington, DC
2400 Rayburn House Office Building
Washington, DC 20515
Phone: (202) 225 8220
Fax: (202) 226 7290
El Segundo
2321 E. Rosecrans Avenue, Suite 3270
El Segundo, CA 90245
Phone: (310) 643 3636
Fax: (310) 643 6445
Wilmington
544 N. Avalon Boulevard, Suite 307
Wilmington, CA 90744
Phone: (310) 549 8282
Fax: (310) 549 8250