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Flag Request
Form
Office of
Representative Julia Carson
Click below to
download the Flag Request Form
Word |
PDF
To order a flag, please complete and print out the form
below. Please send this completed form and a check made payable to Office
Supply Service – IN 0780 to my office:
Rep. Julia Carson
Attn: Flag Request
1535 LHOB
Washington, D.C. 20515
Name:
Street Address:
Phone Number:
Email Address:
Please mail flag to:
(If different from name and address above):
Name:
Street Address:
Please choose the type of flag you prefer:
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Flag Type
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Flag Cost
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Flying Fee
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Postage
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Total
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Quantity
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Total
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3'x5' cotton
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$9.25
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$4.05
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$3.95
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$17.25
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3'x5' nylon
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$9.00
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$4.05
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$3.85
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$17.15
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4'x6' nylon
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$13.50
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$4.05
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$3.95
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$21.50
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5'x8' cotton
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$20.00
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$4.05
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$4.75
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$28.80
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5'x8' nylon
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$18.00
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$4.05
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$3.95
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$26.00
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Total:
$
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If you do not wish to fly the flag over the Capitol, please
make a note of that and do not add that fee into your payment.
If flag is to be flown over the Capitol, choose the type
of certificate you prefer:
Flown for
Present to
In Recognition of
In Memory of
To Commemorate
If applicable for whom and for what occasion:
Please fly on (If flag is to be flown on a specific
date):
Please remember mail security screening may delay the
receipt of your payment. If you have any further questions regarding a flag
order, please contact my Washington D.C. office at 202-225-4011.
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