Flag Requests

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 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.

Billing Address

First Name:

Last Name:

Street Address

Address, Line 2

City

State:

Zip:

E-Mail:

Phone:

Shipping Address

Check to copy billing address

First Name:

Last Name:

Street Address

Address, Line 2

City

State:

Zip:

E-Mail:

Phone:

Flag Selection

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 to be flown over the Capitol? ($0) Yes No

Do you have a date preference? Yes No

If so, select a 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?

Flag Requests

Billing Address

Shipping Address

Flag Selection

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