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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.

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, 202-225-2331.

* 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?
 Message
 
Send Flag(s) to (if other than listed above):
Name
Street Address
City
State
Zip
Phone

Postage Rates
Please include the cost of postage with your total.

Number of Flags 1 or 2 3 4 5 6 7 8 9 10
Cost $3.50 $5.20 $6.45 $7.70 $8.95 $10.20 $11.45 $12.70 $13.95

Make checks payable to Michele Bachmann’s Office Supply Account and mail to:

Congresswoman Michele Bachmann
412 Cannon House Office Building
Washington, D.C. 20515