Flag Request
Form
Office of
Representative André Carson
Click below to
download the Flag Request Form
Word |
PDF
To order a flag, please complete and print out the form
below. Please send this completed form and a check made payable to Office
Supply Service – IN 0780 to my office:
Rep. André Carson
Attn: Flag Request
2455 RHOB
Washington, D.C. 20515
Name:
Street Address:
Phone Number:
Email Address:
Please mail flag to:
(If different from name and address above):
Name:
Street Address:
Please choose the type of flag you prefer:
Flag Type
|
Flag Cost
|
Flying Fee
|
Postage
|
Total
|
Quantity
|
Total
|
3'x5' cotton
|
$9.25
|
$4.05
|
$3.95
|
$17.25
|
|
|
3'x5' nylon
|
$9.00
|
$4.05
|
$3.85
|
$17.15
|
|
|
4'x6' nylon
|
$13.50
|
$4.05
|
$3.95
|
$21.50
|
|
|
5'x8' cotton
|
$20.00
|
$4.05
|
$4.75
|
$28.80
|
|
|
5'x8' nylon
|
$18.00
|
$4.05
|
$3.95
|
$26.00
|
|
Total:
$
|
If you do not wish to fly the flag over the Capitol, please
make a note of that and do not add that fee into your payment.
If flag is to be flown over the Capitol, choose the type
of certificate you prefer:
Flown for
Present to
In Recognition of
In Memory of
To Commemorate
If applicable for whom and for what occasion:
Please fly on (If flag is to be flown on a specific
date):
Please remember mail security screening may delay the
receipt of your payment. If you have any further questions regarding a flag
order, please contact my Washington D.C. office at 202-225-4011.
|