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Flag Request Form

I am pleased to offer assistance to Central Coast residents in requesting U.S. 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 sent individually boxed and includes a certificate of dedication.

Please make checks payable to: Congressman Sam Farr's Stationery Account

 
1) Complete the following fields to purchase a flag:
Prefix*: 
First*: 
Last*: 
Street Address*: 
Address 2nd line: 
City*: 
State*: 
Zip Code*: 
Email Address*: 
Home Phone*: 
Work Phone: 
 

2) Please select which size flag you would like. There are five types of flags available for purchase.

The prices of the flags are as follows:

Flag Type Requested Flown Not Flown
3 x 5' nylon $17.60 $13.55
3 x 5' cotton $19.97 $15.92
4 x 6' nylon $24.22 $20.17
5 x 8' nylon $28.72 $24.67
5 x 8' cotton $32.17 $28.12
If you would like your flag flown over the Capitol, please select the date you would like to have it flown: 


A certificate of authenticity accompanies each flag. You have the option of requesting that a flag be flown in honor of a group, individual or organization and in commemoration of an event or celebration. If you include this information, the certificate accompanying the flag will state this information.   Each certificate begins with the following phrase, “At the request of the Honorable Sam Farr, Member of Congress, this flag was flown…”  Please enter the exact text you would like you certificate to read below:
 

Please complete the fields below with the mailing address to which the flag should be sent (you may send the flag directly to a recipient.)

Recipient's name: 
Address: 
City: 
State: 
Zip: 
 

3) Click Submit to complete your request.

Please send payment to:
Rep. Sam Farr
Attn: Staff Assistant/Flag Order
100 West Alisal Street
Salinas, CA 93901

Please make checks payable to: Congressman Sam Farr's Stationery Account