Senator Benjamin L. Cardin - U.S. Senator for Maryland
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To request a flag, please fill out and print this form. Return it with a regular check (not starter check) or money order for the appropriate amount made payable to "Keeper of the Stationery" and mail to:

U.S. Senator Benjamin L. Cardin
Tower 1, Suite 1710
100 South Charles Street
Baltimore, MD 21201
Attn: Flag Request

Today's date://

Name of person making request:

Address:

City:

State:

ZIP:

Daytime telephone number:

Email Address:

Flag type Price Quantity Subtotal
Nylon, 3x5 $9.00 each $
Cotton, 3x5 $9.25 each $
Nylon, 5x8 $18.00 each $
Cotton, 5x8 $20.00 each $
Flying & certification Cost (per flag) $4.05 $
Shipping & Handling Cost (per flag) $4.00 $
TOTAL AMOUNT OF ORDER $

Please check one of the following:

I wish to purchase a flag that HAS NOT been flown over the Capitol
I wish to purchase a flag that WILL be flown over the Capitol

I would like the flag flown on: First available date Specific date:

Please specify date:


I would like the authentication certificate to state:
This flag was flown for:


On the occasion of:



Shipping information (if different from person making request)

Name of flag recipient:

Address:

City:

State:

ZIP: