Senator Wyden
offers constituents the opportunity to purchase a United States flag that
has flown over the U.S. Capitol. If you would like to order a flag, please
complete the following form and mail it, along with your check or money order,
to the address listed below.
Please allow six to eight weeks to receive your flag. If you have any questions,
contact Devlin Timony-Balyeat at (202) 224-5244.
FLAG ORDER FORM
Date
of Request ___________________________________________________________
Name ____________________________________________________________________
Address __________________________________________________________________
City, State, & Zip Code _____________________________________________________
Telephone Number _________________________________________________________
Date Flag to be Flown (if applicable) _____________________ For Whom ____________
Occasion __________________________________________________________________
SIZE
FABRIC
QUANTITY
TOTAL
3x5
Nylon
________ x $9.00 $
_________
3x5
Cotton
________ x $9.25
_________
5x8
Nylon
________ x $18.00 _________
5x8
Cotton
________ x $20.00 _________
Flying
and Certification Cost ________ x $4.05
_________
Shipping
and Handling Cost ________ x $4.00
_________
TOTAL $ _________
PAYMENT: _______ CHECK ______ MONEY
ORDER
Please make check or money order payable
to: Keeper of the Stationery
Please send to: Senator Ron Wyden
Attn: Devlin Timony-Balyeat
230 Dirksen Senate Office Building
Washington, DC 20510