Flag Request

Please fill out the form below, or download a PDF version here.

Contact Information

:

Mailing Address (optional)

Please mail flag to (if different from name and address above):
:

Type of Flag

Type of Certificate (optional)

If Flag is to be Flown over the Capitol (choose one for the certificate):

If Flag is to be Flown on a specific date:

   

Once you have filled out the form, click Print from the FILE menu.

SHIPPING COST: For one 3x5 flag add ($3.85); for one 4x6 flag ($4.55); for one 5x8 flag ($6.10).

Make Check Payable to: "OFFICE SUPPLY ACCOUNT OF BOB INGLIS"

Check or money order only (write "FLAG" in the memo portion).
A reminder to make sure you've added the shipping cost to your check.

Return this form to: 330 Cannon HOB, Washington, D.C. 20515

Inquiries please call: 202.225.6030

Or-

Flags may be ordered by contacting my Washington, D.C. office at (202) 225-6030, 330 Cannon House Office Building, Washington, D.C. 20515.