Online Flag Request Form

Name:
Address:

Daytime Phone:
E-mail:

Please mail flag to (if different from name and address above):

Name:

Address:


Please Select Your Choice Below:
(Prices do not include $3.95 shipping & handling per flag)
Flown over the Capitol Not Flown over the Capitol
3 ft. x 5 ft. Cotton - $13.30 3 ft. x 5 ft. Cotton - $9.25
3 ft. x 5 ft. Nylon - $13.05 3 ft. x 5 ft. Nylon - $9.00
4 ft. x 6 ft. Nylon - $17.55 4 ft. x 6 ft. Nylon - $13.50
5 ft. x 8 ft. Cotton - $24.05 5 ft. x 8 ft. Cotton - $20.00
5 ft. x 8 ft. Nylon - $22.05 5 ft. x 8 ft. Nylon - $18.00
If flag is to be flown over the U.S. Capitol: (choose one for the certificate):

A) Flown for
B) Presented to
C) In Recognition of
D) In Memory of
E) To Commemorate

If flag is to be flown on a specific date:

Please fly on:
(Flags are flown Mon.-Fri. except by special request, which requires a separate letter with the date noted at the top.)
 

Please make check(s) payable to:
"Marion Berry's Supply Account #AR0150"

Mail to:

U.S. Rep. Marion Berry
2305 Rayburn H.O.B.
Washington, D.C. 20515

(Allow 3-4 weeks for processing)