As immediate past Chairman of the House Ways and Means Subcommittee on Social Security, Social Security is my highest priority...

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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.

1512 East Broward Boulevard
Suite 101
Fort Lauderdale, FL 33301
Phone: 954-522-1800
FAX: 954-768-0511
1236 Longworth House Office Building
Washington, DC 20515
Phone: 202-225-3026
FAX: 202-225-8398

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, .

* 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 @ $9.25
3 X 5 Nylon @ $9.00 each
4 X 6 Cotton @ $13.50 each
5 X 8 Cotton @ $20.00 each
5 X 8 Nylon @ $18.00 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
 
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