U.S. Congressman Pete Visclosky - Representing Indiana's 1st District

Flag Request

Submit the Flag Request via email, or send the information requested below to Congressman Visclosky's Washington office. Congressman Visclosky's office will contact you within ten days to confirm receipt and request additional information if needed.

PLEASE FILL IN ALL FIELDS

Contact Information: Name
Address
City, State & Zip
E-mail
Home Phone Number
Work Phone Number

Flag Shoud be Sent to (if different than above): Name
Address
City, State & Zip

Flag Flying (optional):
Would You Like the Flag Flown Over the Capitol? YesNo
If You Would Like the Flag Flown Over the Capitol, What Should the Certificate Read:

Sample Certificate Language:

This flag is flown in honor of Richard Jones on the occasion of his retirement.

This flag is flown in honor of Stewart J. Smith on his birthday by his father Scott C. Smith.

This flag is flown in honor of Boy Scott Troop 53.

Flag choices:

Quantity Price Per Flag Size

3 x 5 cotton $9.25

3 x 5 nylon $9.00

4 x 6 nylon $13.50

5 x 8 cotton $20.00

5 x 8 nylon $18.00

Please note that there is an additional charge of $4.05 to have the flag flown over the Capitol.

Other:
Additional Comments: