Home   /   Forms   /   Flag Request
You may e-mail me by filling out your information and comments below. Otherwise, please call, fax, or write your request to me.

All email inquiries will receive a reply by mail in 10 business days.  
If you have not received a reply to your email in this time,
please contact my office Washington, D.C. at: 202-225-6565 or 1-866-425-6565.

* First Name
* Last Name
* Address
* City
* State
* Zip Code
Phone Number
* Email Address

Indicate the number of which flag(s) you would like below:
Please note: flag prices are subject to change.
Please make checks payable to Congressman Ted Poe’s Office Supply

3 X 5 Cotton @ $18.80 each
3 X 5 Nylon @ $18.55 each
4 X 6 Nylon @ $23.05 each
5 X 8 Cotton @ $29.55 each
5 X 8 Nylon @ $27.55 each
Do you want the flag flown over the Capitol? ($0)
Do you have a date preference?

If yes, please fill in date (allow 4-6 weeks notice prior to desired date):
 
 
What occasion or person will this flag be for,
as you would like written on the certificate?
 Message
 
Send Flag(s) to (if other than listed above):
Name
Street Address
City
State
Zip
Phone
 
Please send checks to:
1605 Longworth House Office Building
Washington, DC 20515