Flag Request Form

On behalf of the Fourth Congressional District of Iowa, I am happy to fulfill constituent requests to have a United States flag flown over the United States Capitol.

Flags may be flown for a particular person, event, or organization and may (pending flag office delays) be flown on a specific date. Priority is given to flags being flown in memorial of the deceased. A certificate of recognition is included with each flag and there is no limit on the number of flags you may order.

To obtain a flag through my office, please fill out our flag order form below.

Please note: We can only process flag requests from constituents in Iowa's Fourth District or requests being sent to a constituent in the fourth district. If you are not in Iowa's Fourth District please contact your congressional representative to order a flag.

Purchaser's Information  

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(for questions regarding your order)

The next address is where the order will be sent. This information must be filled in.
To copy the purchaser's information into the fields below, click the following checkbox:

Shipper's Information

  

   

(for questions regarding delivery problems)
Flag Information
SizeMaterialQuantity Flown Over the CapitolQuantity NOT Flown Over the Capitol
3'x5'Nylon @ $13.05 @ $9.00
3'x5'Cotton @ $13.30 @ $9.25
4'x6'Nylon @ $17.55 @ $13.50
5'x8'Nylon @ $22.05 @ $18.00
5'x8'Cotton @ $24.05 @ $20.00
Flag Certificate Information

If you choose to have your flag flown over the United States Capitol, please complete the following
information for the certificate. If you have multiple flags to fly, they must all be flown on the same date. If you have multiple flags to fly on the same date, and you would like different names and/or occasions to appear on each certificate, please leave the name and occasion information below blank, and use a separate document to enclose that information.


(name as it should appear on the certificate)

Please submit your request at least five weeks ahead of your desired date.

Clicking on “Calculate Prices” will calculate shipping costs and the total amount due, and will show the
results in the order request page that can be printed for mailing.

Contact Info

District Offices

Washington DC Office

2210 Rayburn Office Building
Washington, DC 20515
Phone: 202.225.4426
Fax: 202.225.3193

Ames

1421 S Bell Avenue
Suite 102
Ames, Iowa 50010
Phone: 515.232.2885
Fax: 515.232.2844

Fort Dodge

723 Central Avenue
Fort Dodge, Iowa 50501
Phone: 515.573.2738
Fax: 515.576.7141

Mason City

202-1st Street SE
Suite 126
Mason City, Iowa 50401
Phone: 641.201.1624
Fax: 641.201.1523

Sioux City
526 Nebraska Street
Sioux City, IA 51101
Phone: 712.224.4692
Fax: 712.224.4693
Spencer
306 Grand Avenue, P.O. Box 650
Spencer, IA 51301
Phone: 712.580.7754
Fax: 712.580.3354

I am very interested in hearing your views on issues of importance to you. Please use the drop down menu below to select the type of inquiry you'd like to make.

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