State Of Kansas Flag Order Form Fs/fw - Office Of The Secretary Of State/ Elections Division
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1Office of the Secretary of State/ Elections Division
FS/FW
State of Kansas Flag Order Form
64 / 77
Send to: Office of the Secretary of State,
Name
1st Floor, Memorial Hall, Topeka, KS 66612.
If you have questions call 785-296-4557.
Address
City / State / Zip
Telephone
Credit Card Number
Visa
Type:
Mastercard
Exp.
DO NOT WRITE IN THIS SPACE
Sales Tax*
Flags
Price
Quantity
Total
Fund
(if applicable,
add to each item)
4’ X 6’ nylon
44.03
3.17
01
4’ X 6’ cotton
46.08
3.32
02
3’ X 5’ nylon
32.46
2.34
03
12” X 18” nylon w/grommets
10.77
.78
04
12” X 18” rayon w/stick
6.20
.45
05
8” X 12” rayon w/stick
6.25
.45
06
07
4” X 6” rayon w/stick
2.34
.16
08
Flag stands (for 4” X 6” flag)
.47
.03
60
+ 5.00
Shipping
26
Total
* Sales Tax must be paid by all Kansas residents unless specifically exempted.
To fly flags over the Capitol, please provide the following information:
Date flag should be flown:
Person(s)/organization requesting to fly the flag:
Person(s)/organization for whom the flag is being flown:
Special occasion (if applicable):
rev. 8/11/03 ac
K.S.A. 75-419
Notice: There is a $25 service fee for all returned checks.
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