Flag Requests

Select flag size and material
Qty. Size Material Price Flown over Capitol Sub-total
3' x 5' Cotton $9.25 Yes ($4.05 per flag)  
3' x 5' Nylon $9.00 Yes ($4.05 per flag)  
5' x 8' Cotton $20.00 Yes ($4.05 per flag)  
5' x 8' Nylon $18.00 Yes ($4.05 per flag)  
Shipping & Handling ($4.00 per Flag) $0.00
Total $0.00

In Honor of

    • Any Date
    • Specific Date

Requester's Contact Info

Requester's Address

Shipping Address

Payment Information

Note: This form cannot process transactions, after clicking the submit button you will be able to print off your completed form.

Please print a copy of this form and include it with payment made out to: "Keeper of the Stationery."

Please mail the copy of your request and payment to:

Keeper of the Stationary
c/o Senator Ron Wyden
221 Dirksen Senate Office Bldg.
Washington, D.C., 20510