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About the District
 

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.

210 Route 4 East, Ste 206
Paramus, NJ 07652
1318 Longworth HOB
Washington, DC 20515

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, phone: 202-225-4465 fax: 202-225-9048.

* 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 @ $13.25 each
3 X 5 Nylon @ $13.00 each
4 X 6 Nylon @ $17.50 each
5 X 8 Cotton @ $24.00 each
5 X 8 Nylon @ $22.00 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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