FLAG ORDER FORM
IMPORTANT: If you would like your flag flown on a specific date, please place your order at least 4 weeks in advance of that date.
|
Today's Date: Your Name: Your Address:
Your Phone Number: Your E-mail Address: |
Date you want flag flown: |
Please let us know what kind of flag(s) you would like by completing the table below:
| TYPE OF FLAG | PRICE PER FLAG | QUANTITY | COST (price x quantity) |
| 3'x5' nylon | $17.05 | ||
| 3'x5' cotton | $17.30 | ||
| 5'x8' nylon | $26.05 | ||
| 5'x8' cotton | $28.05 | ||
| TOTAL: |
Along with your flag, you will receive a certificate showing it was flown over the Capitol.
What name would you like to appear on your certificate?
What occasion (if any) would you like to appear on your certificate?
Your flag will be mailed to the address above unless you provide a different name and address below:
Please be aware that Senator Boxer's office cannot guarantee the date of delivery for your flag.
Mail your completed form and check made payable to Keeper of the Stationery to:
Office of
U.S. Senator Barbara Boxer
Flag Orders
112 Hart Senate Office Building
Washington, DC 20510