Flag Request via Check

PLEASE READ ALL INFORMATION BEFORE BUYING YOUR FLAG.

To make a request for a flag to be flown over the U.S. Capitol, please complete the form below and click the button to print it out.  Once printed, please mail it along with your check to our office.  

Please do not adjust the price the form calculates when making out your check.  We will be unable to process any check with the wrong amount.  If you believe there is an error please call our office at 202-224-2023.

Please note, our office will send your check to the Senate Stationary store who provides the flags for our office.  We do not have control over the exact time when your check will be cashed, but please understand that it may occur several weeks after we receive your check, and it is not linked to the purchase date of your flag.  Note: 4x6 Nylon flags are not available for order pre-flown.  

Contact information
 
Date:
Name of Contact Person:
Address:
City: State:
Zip Code:
Phone Number:
Email Address:
 
Make all checks payable to: Keeper of the Stationery
 
Mail checks to:
Senator Mark Warner
United States Senate
Washington, DC 20510
Attn: Flag Coordinator
 
Prices INCLUDE Flying & Certification
($9.00 per flag)
Size Material Unit Price Qty
3' x 5' Cotton $12.00
3' x 5' Nylon $11.00
4' x 6' Nylon $16.00
5' x 8' Cotton $24.00
5' x 8' Nylon $21.00
    Flying Fee: $9.00
   
$8.80
    Total: $0.00
 
Each flag will be accompanied with a certificate signed by the Architect of the Capitol certifying the date that the flag was flown over the United States Capitol and listing the name of the person/persons or organization for whom the flag was purchased. Please provide the following information, as applicable, so that we can include the appropriate information on the flag certificate.
 
1. Name of the person/organization as you want it to appear on the certificate:
 
 
2. If the flag is being flown to commemorate a special occasion, such as a retirement, graduation, anniversary, or birthday and if you want that occasion mentioned in the flag certificate, please list that occasion here:
 
 
3. If you want the flag flown over the Capitol on a specific date, please designate that date here:
 
 
If you want the flag to be mailed to an address other than the address of the contact person listed above, please provide the following information:
 
Name:
Address:
City: State:
Zip Code:
 
**Important**
Please allow at least 6 weeks for processing. All prices listed are at cost, and no profit is incurred.
 


Please do not adjust the price the form calculates when making out your check.  We will be unable to process any check with the wrong amount.  If you believe there is an error please call our office at 202-224-2023.