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Home / Constituent Services / Flag Form

Order Form for U.S. Flags

You may order a United States flag to be flown over the Capitol from my office if you live in the following communities which comprise the 10th Congressional District of Ohio:

Bay Village
Berea
Brooklyn
Brooklyn Heights
Brook Park
Cleveland (West Side)
Cuyahoga Heights
Fairview Park
Garfield Heights
Glenwillow
Independence
Lakewood
Linndale

Middleburg-Heights
Newburgh Heights
North Olmsted
Oakwood
Olmsted Falls
Olmsted Township
Parma
Parma Heights
Rocky River
Seven Hills
Strongsville
Valley View
Walton Hills
Westlake

If you do not live in the communities listed above and you wish to order a flag, please contact your respective Member of Congress.

United States flags may be flown in honor of a particular person, event or organization. A certificate will be included with each flag flown over the Capitol.

To purchase a flag through my office, please complete, print, and mail the form below, along with your check to:

Congressman Dennis J. Kucinich
1730 Longworth House Office Building
Washington, D.C. 20515

Please make checks payable to: Congressman Kucinich's Office Supply Account

Name:
Street Address:
Please mail flag to (if different from name and address above):
Name:
Street Address:
Home Phone:
Work Phone:
Please Select Your Choice Below:

Flown over the Capitol	Not Flown over the Capitol
3 ft. x 5 ft. Cotton - $17.25	3 ft. x 5 ft. Cotton - $13.20
3 ft. x 5 ft. Nylon - $16.90	3 ft. x 5 ft. Nylon - $12.85
4 ft. x 6 ft. Nylon - $21.50	4 ft. x 6 ft. Nylon - $17.45
5 ft. x 8 ft. Cotton - $28.80	5 ft. x 8 ft. Cotton - $24.75
5 ft. x 8 ft. Nylon - $25.95	5 ft. x 8 ft. Nylon - $21.95

Postage Costs Included.

**If Flag is to be Flown on a specific date:**
If Flag is to be Flown over the Capitol (choose one for the certificate):
A) Flown for
B) Present to
C) In Recognition of
D) In Memory of
E) To Commemorate
If applicable, flown for who or for what occasion:

Please fly on:

Your request will be processed upon receipt of your check. Please mail your check to:

Congressman Dennis J. Kucinich
1730 Longworth House Office Building
Washington, DC 20515

Please make check payable to: Congressman Kucinich's Office Supply Account.