ALASKA STATE FLAG REQUEST FORM

Name and Phone Number of the person ordering the flag:
 
 
 
Name and mailing address to which the flag is to be shipped:
 
 
 
Size/Type of flag:



3ft. x 5ft. ..... $ 29.35
5ft. x 8ft. ..... $ 37.95
Quantity Sub-Total
Total
Print out this form and make the check payable to:
 
"Legislative Affairs Agency"
 
and mail the check with this form to...
 
(Normal processing time is 6 weeks.)
Senator Alan Austerman
State Capitol, Room 417
Juneau, AK 99801-1182
 
Phone: (907) 465-2487
Fax: (907) 465-4956