Air Force Memorial – United States Flag Order Form
We are privileged to fly flags by request in your honor or in honor of a loved one. Flags are flown Monday-
Friday with the exception of Federal Holidays. Special arrangements may be made for other days if staff is
available to accommodate. All flags purchased through the Air Force Memorial are made in the U.S.A. and
include a certificate. Please complete all sections of the order form to ensure timely processing of your order.
Your Name ______________________________________
Address
______________________________________
______________________________________
Telephone* ______________________________________
*Orders without a telephone number cannot be processed.
Check here if you would like your flag sent to another address and include name and address of recipient
on the back of the form.
Date Please fly flag on: ______________________________
Due to limited flag supplies, dates are not guaranteed
Alternate date: _________________________________
Certificate
Flag will be flown in honor of/memory of (select one) _______________________________
(optional) On the occasion of ___________________________________________________
Example: This United States Flag was flown at the United States Air Force Memorial on [date] in honor of
[rank] [name] on the occasion of [his/her] retirement after [x] years of service.
Flag
Quantity
Line Item Total
3x5 Nylon - $24.00
$0.00
3x5 Cotton - $34.00
$0.00
5x8 Nylon - $42.00
$0.00
5x8 Cotton - $59.00
$0.00
Providing your own
flag - Free
Subtotal
$0.00
Sales Tax - 6%
(VA residents and/or
sale in store only)
Shipping/handling - $6
$6.00
TOTAL
$6.00
To pay with check or money order,
To pay with Visa/MasterCard enter your information here or call our office to
please send payment to:
process over the phone:
Air Force Memorial Foundation
Card #________________________________ Exp____________
1501 Lee Hwy, Suite 400
Arlington, VA 22209-1109
Name on card__________________________________________
Please make checks payable to:
Billing address_________________________________________
Air Force Memorial Foundation
Signature ______________________________Date____________