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Use this form to contact Rep. Grijalva about pending legislation, current issues, or with requests for assistance.

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Flag Request

 

Residents of the Third Congressional District of Arizona may request to have a U.S. flag flown over the Capitol in honor of a particular person, event, or organization on a specific date. A certificate of recognition is included with each flag. There is no limit on the number of flags you may order.

To obtain a flag through my office, please either print and fill out the Flag Request Form below and return it  with a check or money order payment or click here to pay by credit card.

Please note that your order cannot be processed unless it is accompanied with payment (credit card, check, and money order only, do not mail cash).

If the flag is for a friend or local club, please make sure to include that information on the order form so the flag certificate will be filled out appropriately. With advance notice, it is possible to have your flag flown over the Capitol on a specific date. Be sure to indicate the desired flying date on the order form.  

Please note that my office cannot guarantee the delivery of flags by specific dates, ceremonies, or occasions. Please allow at least 8 weeks for delivery.

Checks must be made payable to:
Office Supply Account of Congressman Raúl M. Grijalva

Please return the completed form, along with your payment, to:

Office Of Congressman Raúl M. Grijalva
ATTN: Flag Coordinator
1511 Longworth Building
Washington, D.C. 20515

If paying by credit card, please complete this form here.

Flag Request Form (10/03/14 12:20 PM PST)