|
Please print out this form and mail, along with a check or money order made out to: "The Keeper of the Stationery", to: Office of Senator Max Baucus Your name and Phone Number:__________________________________________ Your address:________________________________________________________ ___________________________________________________________________ The following information will be included on a certificate included with the flag: Name of recipient (Person flag is to be flown for):_________________________ Address flag should be mailed to:__________________________________ ______________________________________________________ Occasion (if any):_____________________________________________________ ___________________________________________________________________ Date flag is to be flown over the Capitol (if applicable):______________________ Number/type of flags desired:
|
|||||||||||||||||||||||||||