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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.

400 North Telshor,
Suite E
Las Cruces, NM 88011
505-522-2219 tel
505-522-3099 fax

1717 West 2nd Street, Suite 100
Roswell, NM 88201
505-622-0055 tel
505-625-9608 fax

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 each
3 X 5 Nylon @ $9.00 each
4 X 6 Nylon @ $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 Capitol? ($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?
Send Flag(s) to (if other than listed above):
Street Address
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