Congressman Paul Broun, M.D.

forms // Flag Request

You may e-mail me by filling out your information and comments below. Otherwise, please call, fax, or write your request to me.

Washington D.C. Office
325 Cannon House Office Bldg
Washington, D.C. 20515

Shipping Prices:
1 Flag: $4.05
2 Flags: $5.55
3 Flags: $8.05
4 Flags: $9.05

All email inquiries will receive a reply by mail in 10 business days.
If you have not received a reply to your email in this time,
please contact my office at (202) 225-4101.

* First Name

* Last Name

* Address

* City

* State

* Zip Code

Phone Number

* Email Address

Indicate the number of which flag(s) you would like below:
Please note: flag prices are subject to change.

3 X 5 Cotton @ $9.25 each

3 X 5 Nylon @ $9.00 each

4 X 6 Nylon @ $13.50 each

5 X 8 Cotton @ $20.00 each

5 X 8 Nylon @ $18.00 each

Do you want the flag flown over the Capitol? ($4.05) YesNo

Do you have a date preference? YesNo

If yes, please fill in date (allow 4-6 weeks notice prior to desired date) in mm/dd/yyyy:

What occasion or person will this flag be for,
as you would like written on the certificate?

Message

Send Flag(s) to (if other than listed above):

Name

Street Address

City

State

Zip

Phone

forms

QUICK LINKS

BROUN'S 4-WAY TEST

I am committed to protecting the constitutional rights and pocketbooks of every American. I will apply the following four-way test to every piece of legislation that comes before the House for a vote:

1) Is it Right/Moral?
2) Is it Constitutional?
3) Is it Necessary?
4) Is it Affordable?

U.S. CONGRESSMAN PAUL C. BROUN, M.D. 10th Congressional District of Georgia

forms

QUICK LINKS

BROUN'S 4-WAY TEST