FLAG REQUEST FORM FOR CORPUS CHRISTI OFFICE PICK-UP Please make your check payable to The Supply Service Account of Congressman Blake Farenthold* Send order form to: Congressman Blake Farenthold Attn: Flag Request 101 N. Shoreline Blvd. Ste, 300 Corpus Christi, TX, 78401 The Corpus Christi district office will contact you when your flag is available for pick up. Name of person flag is to be flown for:_______________________________________________ Occasion (if any):__________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ __ Senders Contact Information: Name____________________________________________________________________________ _ Phone:____________________________Email:_________________________________________ __ Please indicate quantity and which size and type of flag you would like to order Flown Not Flown Flag Price $17.95 3x5 Nylon $13.90 Quantity Flag Price Quantity 3x5 Nylon 3x5 Cotton $20.63 3x5 Cotton $16.58 4x6 Nylon $24.88 4x6 Nylon $20.83 5x8 Nylon $29.38 5x8 Nylon $25.33 5x8 Cotton $32.90 5x8 Cotton $28.85