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- Home > Services > Flag Order
CONSTITUENT SERVICES
AMERICAN FLAG ORDER FORM
Congressman Cliff Stearns
Working for Florida's Sixth District since 1989
(1) Name of Person requesting flag(s):
Name:_____________________________________________________
Address:___________________________________________________
City:______________ State:_____ Zip:______
Phone (H):__________________ (W):__________________
(2) Please indicate the quantity of each flag desired and enclose the proper amount. We cannot accept cash orders. Please make checks or money orders payable to House Stationery Account FL0630.
DO NOT make checks payable to Congressman Cliff Stearns.
_____3 x 5 cotton($17.29) _____5 x 8 cotton ($29.71)
_____3 x 5 nylon ($16.49) _____5 x 8 nylon ($28.75)
_____4 X 6 nylon ($21.62)
All items are listed at cost plus U.S. mailing expense. No profit is incurred.
(3) Where flag is to be mailed, if different from above:
Name:_____________________________________________________
Address:___________________________________________________
City:______________State:_____ Zip:______
(4) Please fill out the following: name of the individual or group for whom the flag is to be flown, the date you wish to have it flown, and the special occasion of that date. (8th birthday, 25th wedding anniversary, USN commissioning, for example)
Name on flag certificate:_______________________________________
Date to be flown over Capitol:___________________________________
Occasion:__________________________________________________
(5) Mail completed form, with check or money order made payable to House Stationery Account FL0630, to:
Congressman Cliff Stearns
2370 Rayburn House Office Building
Washington, DC 20515
Please allow 3 to 6 weeks from the time the flag is flown for delivery.
If you have any questions or need to speak to someone regarding a flag, please contact Lana at (202) 225-5744.
Thank You!
effective 4/1/07 krh
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