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Flag Request . . . .

Representative McCormick is pleased to provide a flag for your school, organization or for a special occasion. Please note that flag supply is limited.

* Information required for submission



* Organization:

* Recipient:

* Phone:

   Fax:

* E-Mail:

* Confirm E-Mail:

* Address:

* City:

* State:
* Zip Code:

* Event:

* Date:

* Location:


* Is this a special occassion? Please Describe:


* Would you like for Representative McCormick to present the flag?
Yes
No

* Please indicate type of flag requested. Choose one:
US 3 x 5
US 4 x 6
TN 3 x 5
TN 4 x 6

Comments:





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