FLAG REQUEST FORM

Name of the person or group to receive the flag:  
Special message to be printed on the certificate:
 
Please, type or print clearly,
and make it brief...
 
Date flag should be flown:  
Date flag needed by:  
 
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:

3x5 Cotton $ 16.40
3x5 Nylon * $ 14.90
4x6 Nylon $ 18.51
5x8 Cotton $ 28.23
5x8 Nylon $ 24.35

Prices effective
Jan 1, 2000
* Please Note:
 
Flags are complimentary (free) for military retirements, boy/girl scout awards, and schools. Due to the large demand, complimentary flags are limited to 3x5 Nylon flags only.
Please make the check payable to:
 
"Honorable Don Young Office Supply Account"
 
and mail the check with this form to...
 
(Normal processing time is 6 weeks)
Congressman Don Young
2111 Rayburn HOB
Washington, DC 20515
 
PH: 202-225-5765
FX: 202-225-0425