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You may e-mail me by filling out your information and comments below. Otherwise, please call, fax, or write your request to me.

P.O. Box 1830, 87 4th St. NW Suite A, Hickory, NC 28603 Telephone: 828.327.6100 Fax: 828.327.8311
224 Cannon House Office Building, Washington, D.C. 20515 Telephone: 202.225.2576 Fax: 202.225.0316

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 @ $16.30 each
3 X 5 Nylon @ $16.05 each
4 X 6 Nylon @ $20.55 each
5 X 8 Cotton @ $28.05 each
5 X 8 Nylon @ $26.05 each
Do you want the flag flown over the Capitol?
*(If your flag is not to be flown over the Capitol, please reduce the total cost by $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
 
  District Office: P.O. Box 1830, 87 4th St. NW Suite A, Hickory, NC 28603 Telephone: 828.327.6100 Fax: 828.327.8311
DC Office: 224 Cannon House Office Building, Washington, D.C. 20515 Telephone: 202.225.2576 Fax: 202.225.0316