Flag RequestFlag Request

Select flag size and material
Qty
Size
Material
Price
Flown over Capitol
Sub-total
3' x 5'
Cotton
$11.00
Yes ($7.00 per flag)
$0.00
3' x 5'
Nylon
$10.00
Yes ($7.00 per flag)
$0.00
4' x 6'
Nylon
$15.00
Yes ($7.00 per flag)
$0.00
5' x 8'
Cotton
$23.00
Yes ($7.00 per flag)
$0.00
5' x 8'
Nylon
$20.00
Yes ($7.00 per flag)
$0.00
$0.00
$0.00
In Honor of
Requester's Contact Information
Shipping Address
Payment Information

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Please print a copy of this form and include it with payment made out to: “Keeper of the Stationery”

Please mail the copy of your request and payment to:

Keeper of the Stationery
c/o U.S. Senator Chuck Schumer
SH-322 Hart Senate Office Building
Washington, D.C. 20510