<
 
 
 
 
×
>
hide
You are viewing a Web site, archived on 16:59:49 Nov 24, 2008. It is now a Federal record managed by the National Archives and Records Administration.
External links, forms, and search boxes may not function within this collection. Note that this document was downloaded, and not saved because it was a duplicate of a previously captured version (22:19:10 Oct 13, 2008). HTTP headers presented here are from the original capture.

Get Email updates right to
your inbox on the latest news, issues, announcements, or developments by simply entering your email address below.

 
• Washington D.C.
• Flag Requests
• Scheduling

 

Home   /   Forms   /   Flag Request

  
 
You may e-mail me by filling out your information and comments below. Otherwise, please call, fax, or write your request to me.

210 Route 4 East, Ste 206 Paramus, NJ 07652 1318 Longworth HOB Washington, DC 20515

All email inquiries will receive a reply by mail in 10 business days.  
If you have not received a reply to your email in this time,
please contact my office at, phone: 202-225-4465 fax: 202-225-9048.

* 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 @ $13.25 each
3 X 5 Nylon @ $13.00 each
4 X 6 Nylon @ $17.50 each
5 X 8 Cotton @ $24.00 each
5 X 8 Nylon @ $22.00 each
Do you want the flag flown over the Capital? ($4.05)
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
 
     
1318 Longworth House Office Building
Washington, DC 20515
(202) 225-4465
fax: (202) 225-9048		 210 Route 4 East Suite 206
Paramus NJ 07652
(201) 712-0330
fax: (201) 712-0930		 93 Main Street
Newton, NJ 07860
(973) 300-2000
Fax: (973) 300-1051
Biography | News | Photo Album | Issues | Services | Calendar | Contact | Privacy