U.S. Senator Richard G. Lugar
Flag Order Form
Name __________________________________________________________
Address ________________________________________________________
City, State, Zip ___________________________________________________
Phone __________________________________________________________
E-Mail Address ___________________________________________________
Date Flag to be flown _______________________________________________
(If Applicable)
Flag to be flown for ________________________________________________
Occasion ________________________________________________________
| Pricing: | |||
| Flag | Quantity | Price | Total |
| 3x5 nylon | x $9.00 | = | |
| 3x5 cotton | x $9.25 | = | |
| 5x8 nylon | x $18.00 | = | |
| 5x8 cotton | x $20.00 | = | |
| Shipping | x $4.00 | = | |
| Flying fee | x $4.05 | = | |
| Grand Total: | = |
Check or money order should be made payable to Keeper of the Stationery and sent with completed flag form to:
The Honorable Senator Richard G. Lugar
Attention: Flag Coordinator
306 Hart Senate Office Building
Washington, DC 20510-1401
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