Flag Form

Purchase a U.S. flag through my office. There is no limit on the number of flags you may order. Please contact my Canton office to calculate shipping for orders larger than 20. You may also request that your new flag be flown over the Capitol for an additional charge. Flags may be flown for a particular person, event, or organization, and may be flown on a specific date. A certificate of recognition is included with each flag.

Congressman Jim Renacci
Attn: Flag Request
4150 Belden Village St, Suite 408
Canton, Ohio 44718

Make checks payable to:
Rep. Jim Renacci Office Supply Account

* indicates required information.

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Your Information

Prefix: Select One Mr. Mrs. Miss. Ms. Dr.

First Name:*

Middle Initial:

Last Name:*

Suffix:

Street address:*

Address, line 2:

City:*

State:* Ohio Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Oklahoma Oregon Ohio Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

ZIP:* -

Phone number: (for questions regarding your order)

E-mail Address:

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Click the following checkbox to copy the purchaser's information into the fields below.

Shipping Address

The next address is where the order will be sent. This information must be filled in.

Prefix: Select One Mr. Mrs. Miss. Ms. Dr.

First Name:*

Middle Initial:

Last Name:*

Suffix:

Street address:*

Address, line 2:

City:*

State:* Ohio Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

ZIP*: -

Phone number (for questions regarding delivery problems)

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Number of Flags Price includes shipping

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If you choose to have your flag flown over the United States Capitol, please complete the following information for the certificate. If you have multiple flags to fly, they must all be flown on the same date. If you have multiple flags to fly on the same date, and you would like different names and/or occasions to appear on each certificate, please leave the name and occasion information below blank, and use a separate document to enclose that information.

Care of the Flag

Most outdoor flags can be washed in mild detergent and thoroughly rinsed. Indoor and parade flags should be dry-cleaned. Damaged flags can be repaired and utilized as long as the overall dimensions are not noticeably altered. American Legion Posts and local governments often have facilities to dispose of unserviceable flags. Store your flag in a clean, well ventilated area.

If you would like your flag to be flown on a particular day, enter that day here:
Requests cannot be processed more than one month prior to the date the flag would be flown.

The following information wil be included on the Congressional Flag Certificate

Dedication Message

Special Instructions for the Flag Coordinator:

Please submit your request at least 6 weeks ahead of your desired date.