Congressman MIKE ROGERS | Representing Michigan’s 8th Congressional District

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Request a Flag

Your Name:
Prefix First Name * MI Last Name * Suffix (Jr., Sr.)
* Your Address:
* City: State: Zip:
Phone Number:
* Email:
Recipient's Name:
Prefix * First Name * MI Last Name * Suffix (Jr., Sr.)
* Shipping Address:
* City: State: Zip:

Size Fabric Quantity Flown
over the Capitol		 Quantity NOT Flown
over the Capitol		 TOTAL
3'x5' Nylon @ $13.05 @ $9.00
3'x5' Cotton @ $13.30 @ $9.25
4'x6' Nylon @ $17.55 @ $13.50
5'x8' Nylon @ $22.05 @ $18.00
5'x8' Cotton @ $24.05 @ $20.00
Subtotal
S & H (per flag) $5.25
TOTAL

Date to be Flown: (at least three weeks from now)

Required certificate text:
This is to certify that the accompanying flag was flown over the United States Capitol on [date]. At the request of the Honorable Mike Rogers, Member of Congress, this flag was flown...
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