Since September 11th, the U.S. Capitol Flag Office has
received an overwhelming number of requests for flags to be flown. Therefore,
you will probably not receive your flag until at least 6 weeks after it has
been flown. Please keep this delay in mind if you are ordering flags to be
presented on a specific date or for a special occasion. To order your flag,
print this form, fill it out, and mail it with your payment to the below
address:
Name: _________________________________________ Date: _____________________
Address: ____________________________________________________________________
City: ________________________________________________________________________
State: __________________________ Zip Code: _________________________________
Email Address: _______________________________________________________________
Phone (Home): _______________________________________________________________
Phone (Work): ________________________________________________________________
Please indicate the flag size and fabric you would like
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
|
$3.95
|
$17.00 |
|
|
4'x6' Nylon
|
$13.50
|
$4.05
|
$4.25
|
$21.80
|
|
|
5'x8' Cotton
|
$20.00
|
$4.05
|
$4.75
|
$28.80
|
|
|
5'x8' Nylon
|
$18.00
|
$4.05
|
$4.75
|
$26.80
|
|
|
|
|
|
|
|
Total |
|
We are only able to accept checks for purchase of flags
Please Note: These postage prices are for sending
one flag via U.S.
Postal Mail. If more than one flag is being sent to the same location, the cost
of postage increases. Please contact Janna in our Washington, D.C.
office for the correct price at (202) 225-5261.
Mark which applies:
____I would like the flag flown on the following date if possible
_________________ ______, 20______
____Date doesn't matter
A certificate of recognition is included with each flag.
Please indicate if the flag is for a particular individual, family, or group,
or will commemorate a special occasion:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Please enclose a check with this form for the exact dollar
amount show above. The check should be made payable to "Office
Supply Account: Ryan" and both should be mailed to:
Janna Pea
Constituent Liaison
Congressman Tim Ryan
1421 Longworth House Office Building
Washington, DC 20515
|