If you would like to request a flag, please print the following page and mail the completed form and a check made out to "OH061007" to:
Flag Requests
c/o Congressman Charlie Wilson's District Office
800 Main Street Bridgeport, OH 43912
* First Name
_____________________________________
* Last Name
_____________________________________
* Address
_____________________________________
_____________________________________
* City
_____________________________________
* State
_____________________________________
* Zip Code
_____________________________________
Phone Number
_____________________________________
* Email Address
_____________________________________
Indicate the number of which flag(s) you would like below: Please note: flag prices are subject to change.
For orders of 10 flags or more, please call 202-225-5705 for a postage estimate.
3 X 5 Cotton @ $13.20 each
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3 X 5 Nylon @ $12.95 each
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4 X 6 Nylon @ $17.75 each
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5 X 8 Cotton @ $24.75 each
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5 X 8 Nylon @ $22.75 each
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Do you want the flag flown over the Capitol? ($4.05) ___
Do you have a date preference? No ___
If yes, please fill in date (allow 4-6 weeks notice prior to desired date): _________
What occasion or person will this flag be for, as you would like written on the certificate?
_________________________________________
_________________________________________
_________________________________________
Send Flag(s) to (if other than listed above):
* First Name
_____________________________________
* Last Name
_____________________________________
* Address
_____________________________________
_____________________________________
* City
_____________________________________
* State
_____________________________________
* Zip Code
_____________________________________
Phone Number
_____________________________________
If you have any questions, please call our D.C. office at (202) 225-5705.
Washington Office
226 Cannon HOB
Washington, DC 20515
ph: (202) 225-5705
fx: (202) 225-5907