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Name:
Street Address:
City:
State:
Zip:
Daytime Phone Number:
Email Address:
Please mail flag to (if different from name and address above):
Name:
Street Address:

Please Select Your Choice Below:

Please send payment in form of a check or money order made out to:
John Doolittle's Office Supply Account
4230 Douglas Blvd. Suite 200
Granite Bay, CA 95746

Once we receive your order online we will begin to process your order, however, the flag/flags will not be shipped until payment has been received.

Flown over the Capitol (enter number of flags) Not Flown over the Capitol (enter number of flags)
3 ft. x 5 ft. Cotton - $13.30 3 ft. x 5 ft. Cotton - $9.25
3 ft. x 5 ft. Nylon - $13.05 3 ft. x 5 ft. Nylon - $9.00
4 ft. x 6 ft. Nylon - $17.55 4 ft. x 6 ft. Nylon - $13.50
5 ft. x 8 ft. Cotton - $24.05 5 ft. x 8 ft. Cotton - $20.00
5 ft. x 8 ft. Nylon - $22.05 5 ft. x 8 ft. Nylon - $18.00


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

A) Flown for
B) Present to
C) In Recognition of
D) In Memory of
E) To Commemorate

If applicable, flown for who or for what occasion:

If Flag is to be Flown on a specific date:
Please fly on: