District Office:
3000 Corporate Exchange Dr.
Suite 310
Columbus, Ohio 43231
Phone: (614) 523-2555
Fax: (614) 818-0887

Washington DC Office:
Phone: (202) 225-5355
Fax: (202) 226-4523

 
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Home   /   Forms   /   Flag Request
You may e-mail your request to my office by filling out the form below. Otherwise, please call, fax, or write your request to me.

3000 Corporate Exchange Drive Suite 310 Columbus, Ohio 43231 Phone: (614) 523-2555 Fax: (614) 818-0887 113 Cannon House Office Building Washington, D.C. 20515 Phone: (202) 225-5355 Fax: (202) 226-4523

All email inquiries will receive a reply in 10 business days.  
If you have not received a reply to your email in this time,
please contact my office. .

* First Name
* Last Name
* Address
* City
* State
* Zip Code
* Phone Number
* Email Address

Indicate the number of which flag(s) you would like below:
Please note: flag prices are subject to change.

3 X 5 Cotton
3 X 5 Nylon
4 X 6 Nylon
5 X 8 Cotton
5 X 8 Nylon

Do you want the flag flown over the Capital? (Please Note: Due to periodic changes in flag prices, you will be contacted by my office with flag pricing information after submitting this form.)



Do you have a date preference?

If yes, please fill in date (allow 4-6 weeks notice prior to desired date):
 
 
What occasion or person will this flag be for,
as you would like written on the certificate?
 Message
 
Send Flag(s) to (if other than listed above):
Name
Street Address
City
State
Zip
Phone