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Bookmark and Share Flag Request

You may e-mail your flag request by electronically submitting the form below. Otherwise, please call, fax, or write your request to me. All checks should be made payable to the “Stationary Account of Dana Rohrabacher” and mailed to:

Office of Congressman Dana Rohrabacher
101 Main Street Suite 380
Attn: Joyce Bassil
Huntington Beach, CA 92648

Make Checks Payable to the Stationary Account of Dana Rohrabacher.

All email inquiries will receive a confirmation email verifying receipt of your flag request. If you have not received a confirmation email within 10 days, please contact my office at, (202) 225-2415 - (714) 960-6483.

* 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.

3 X 5 Cotton @ $21.97 each
3 X 5 Nylon @ $18.46 each
4 X 6 Nylon @ $26.22 each
5 X 8 Cotton @ $34.74 each
5 X 8 Nylon @ $30.72 each
*If you are ordering more than one flag, please call our Huntington beach office at
(714) 960-6483 to receive a discounted shipping rate.

Do you want the flag flown over the Capitol? ($0)
Do you have a date preference?

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?
 Message
 
Send Flag(s) to (if other than listed above):
Name
Street Address
City
State
Zip
Phone