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AR CHIT ECT O F T HE CAPIT O L S TA P L E F EE C A RD IN T ...

ARCHITECT OF THE CAPITOLFLAG REQUEST FORMS ignature of RepresentativeSTAPLE FEE CARD IN THIS BOX FEE CARD PER FLAGQUANTITYDATE:OFFICE:STAFF MEMBER PREPARING REQUEST:ROOM NO.:TELEPHONE NO.:FLAG SIZE:3x5 Cotton3x5 Nylon4x6 Nylon5x8 Cotton5x8 NylonOtherTotal amount of flagsMailing Instructions (Member s Records Only):Name:Address:City, State, Zip Code:Flag to be flown for:Occasion (if any):Date flag to be flown (if applicable): Use this form in lieu of a letter to request flying of flags over the Capitol by the Office of the Architect of the Capitol (AOC). More than one flag may be requested perform provided the flags are all to be flown on the same date, or the date to be flown isnot specified. Allow approximately two weeks for processing.

AR CHIT ECT O F T HE CAPIT O L F LAG R EQ UES T F O R M Sig n atu re o f R ep resen tative S TA P L E F EE C A RD IN T H IS BOX ON LY. ON E F EE C A RD P ER F L A G

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