Flag Requests

Submit this form to create a document suitable for printing. Please print out the completed form, and follow its mailing instructions to send a check or money order made payable to: 'KEEPER OF THE STATIONERY.' Please note that our office is unable to process any requests without payment.

Your name:	*
Your phone:	*
E-mail:

Please enter the address to which the flag(s) should be sent, typically your address or the address of the person in whose honor the flag is to be flown.

Person to ship to (if different):
Street Address:	*
City:	*
State:	*
Zip:	*

If you would like your flag flown in a person's name, or for a special occasion, please complete the following information:

Should this flag be flown in someone's honor?			yes no
Honoree Name:
Date flag is to be flown:
Occasion for this honor:

Number of flags (of each type)
3' x 5' Nylon - $9.00	*
3' x 5' Cotton - $9.25	*
4' x 6' Nylon - $13.50	*
5' x 8' Nylon - $18.00	*
5' x 8' Cotton - $20.00	*

Calculated shipping cost
Calculated flying cost
Calculated total cost

The Flying and Certification charge is $4.05 per flag. The shipping and handling charge is an additional $4.00 per flag.

Senator Amy Klobuchar

Working for the People of Minnesota

Flag Requests