Flag Sizes and Prices
Please indicate number and type of flag you wish to order*

NYLON                                                                                   COTTON

___ 3x5 $13.05                                                                        ___ 3x5 $13.30

 ___ 4x6 $17.55                                                                    4x6 Not Available

  ___ 5x8 $22.05                                                                        ___ 5x8 $24.05

 
ORDER TOTAL: $_______                                         CHECK NUMBER:_______

*MAKE CHECK PAYABLE TO: Mac Thornberry's Office Supply Account

CONTACT INFORMATION: (Where questions regarding request can be directed)

NAME:_________________________________     DAYTIME PHONE:(___)______________

ADDRESS:____________________________________________________________________

CITY, STATE, ZIP:_____________________________________________________________

 

ADDRESS TO MAIL FLAG CERTIFICATE: (if different than address above)

NAME:________________________________       DAYTIME PHONE:(___)______________

ADDRESS:____________________________________________________________________

CITY, STATE, ZIP:_____________________________________________________________

 

CERTIFICATE INFORMATION:

NAME OF PERSON OR GROUP FOR WHOM FLAG WILL BE FLOWN:

_____________________________________________________________________________

OCCASION, IF ANY (i.e. wedding, anniversary, birthday, retirement, graduation, etc.)

_____________________________________________________________________________

IF POSSIBLE, I WOULD LIKE THE FLAG FLOWN ON THE FOLLOWING DATE:

_____________________________________________________________________________

 
PLEASE MAIL REQUEST & CHECK TO ONE OF THE FOLLOWING ADDRESSES:

The Honorable Mac Thornberry                                  The Honorable Mac Thornberry
905 South Fillmore Street, Suite 520                          4245 Kemp Boulevard, Suite 506
Amarillo, Texas 79101-3541                                       Wichita Falls, Texas 76308-2829

PLEASE DIRECT ANY QUESTIONS TO THE FLAG COORDINATOR AT (202) 225-3706

_____________________________________________________________________________

FOR OFFICE USE ONLY                                                                           

Received:              Ack:                             Sent:                             Cert:

Check:                  Arch:                            Back:                            Out: