Proudly Serving Florida's 12th District











U.S. Flag

Learn more about our flag

Flag Etiquette

Flag History

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Order a US Flag

If you are a constituent of Florida's 12th Congressional District, you may purchase a flag that has been flown over the United States Capitol Building through my office. 

You may wish to print this page out or download a Flag Order Form, and mail it with your check to my office.

If you are not a constituent, you should contact your member of congress for more information.


	NAME__________________________________________PHONE______________________                         
	ADDRESS___________________________________________________________ 

	CITY_____________________________STATE_______________ZIP__________ 

SIZE-MATERIAL-PRICE OF FLAG FLOWN OVER CAPITOL 
  
			         ONE	         TWO	         THREE		
3 x 5 Cotton:		$18.20		$33.45		$47.95		
3 x 5 Nylon:		$16.90		$31.00		$47.20		
4 x 6 Nylon:		$22.45		$41.95		$60.70		
5 x 8 Cotton:		$30.90		$57.40		$83.60		
        5 x 8 Nylon:	        $26.95	        $52.15	        $76.05			
 
FLAG WILL BE PRESENTED TO:
NAME________________________________________________________________________ 
  

WOULD YOU LIKE THE FLAG FLOWN ON A SPECIFIC DATE? no____yes____ 

FLAG TO BE MAILED TO:
NAME________________________________________________________________________
ADDRESS_____________________________________________________________________
CITY__________________________________STATE____________________ZIP__________


IS CHECK ATTACHED?_______YES _______NO 

payable to: “OFFICE SUPPLY ACCOUNT OF ADAM PUTNAM”
check or money order only (write “FLAG” in the memo portion) 

return this form to: 650 East Davidson St, Bartow, FL 33830
inquiries please call: 863-534-3530