Flags Request Form

I am pleased to assist constituents of the 3rd District of California in requesting American Flags flown over the Capitol Building and dedicated to any person, organization or event of their choice.

Flags can also be flown on any specific date, including weekends and holidays. Each Flag is individually boxed and includes a certificate of dedication.

There are some nominal fees associated with flying a flag over the Capitol, and the price varies according to the size and material of the flag you request. This cost will be passed on to you.

• On the next page print the flag request form.
• Checks for payment of all flag orders (see below) should be in the exact amount, made out to:
  Rep Dan Lungren
• Mail flag request form(s) and check to:
  
  Rep Dan Lungren
  2262 Rayburn HOB
  Washington, DC 20515

* indicates required information.

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Your Information

Purchaser’s name:*

Street address:*

Address, line 2:

City:*

State:*

ZIP:*

Phone number: (for questions regarding your order)

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Click the following checkbox to copy the purchaser's information into the fields below.

Shipping Address

The next address is where the order will be sent. This information must be filled in.

Ship To Name:*

Street address:*

Address, line 2:

City:*

State:*

ZIP*:

Phone number (for questions regarding delivery problems)

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Number of Flags

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If you choose to have your flag flown over the United States Capitol, please complete the following information for the certificate. If you have multiple flags to fly, they must all be flown on the same date. If you have multiple flags to fly on the same date, and you would like different names and/or occasions to appear on each certificate, please leave the name and occasion information below blank, and use a separate document to enclose that information.

Care of the Flag

Most outdoor flags can be washed in mild detergent and thoroughly rinsed. Indoor and parade flags should be dry-cleaned. Damaged flags can be repaired and utilized as long as the overall dimensions are not noticeably altered. American Legion Posts and local governments often have facilities to dispose of unserviceable flags. Store your flag in a clean, well ventilated area.

Flag will be presented to: (name as it should appear on the certificate)

Special occasion:

Requested date for flag to be flown:*

Please submit your request at least five weeks ahead of your desired date.