Flag Request Form

Office of Representative André Carson

Click below to download the Flag Request Form
Word | PDF

To order a flag, please complete and print out the form below.  Please send this completed form and a check made payable to Office Supply Service – IN 0780 to my office:      

Rep. André Carson
Attn: Flag Request
2455 RHOB
Washington, D.C. 20515

Name:

Street Address:

Phone Number:

Email Address:

Please mail flag to:

(If different from name and address above):

Name:

Street Address:

Please choose the type of flag you prefer: 

If you do not wish to fly the flag over the Capitol, please make a note of that and do not add that fee into your payment.

If flag is to be flown over the Capitol, choose the type of certificate you prefer:

Flown for

Present to

In Recognition of

In Memory of

To Commemorate

If applicable for whom and for what occasion:

Please fly on (If flag is to be flown on a specific date):

Please remember mail security screening may delay the receipt of your payment.  If you have any further questions regarding a flag order, please contact my Washington D.C. office at 202-225-4011.