Flag Request Form If you are requesting a United States or Alabama State Flag to be flown at the Alabama State Capitol, please fill out the following form. Please mail your 3’ x 5’ United States or Alabama State Flag to: Office of the Governor Attn: Constituent Services 600 Dexter Avenue Montgomery, AL 36130 Salutation: *** Salutation: Select Prefix: Mr. Ms. Mrs. Dr. First Name: *** First Name: Last Name: *** Last Name: Suffix: Suffix: Optional Suffix: Jr. Sr. II III MD PhD Street Address: *** Street Address: City: *** City: State: *** State: Zip Code: *** Zip Code: Email Address: *** *** Email Address: Phone: *** *** *** (Phone Area Code ) - Phone Prefix - Phone Last 4 Digits Purpose the flag is being flown?*** Purpose the flag is being flown? Select Purpose: Retirement Wedding Birthday Graduation Other Will the flag be picked up or mailed to you? *** Will the flag be picked up or mailed to you? Select Choice: Picked Up Mailed Additional Information: Additional Information Please fill out ReCaptcha field: Google reCAPTCHA verification
