If you need help or have questions contact: orders@amflag.com

Billing Information

E-Mail Address
Purchaser's Name
Street Address
City
State Zip Telephone


Shipping Information

Only necessary if different from Billing Address

Recipient's Name
Street Address
City
State Zip


Item(s) you would like to order:

(1) Item Number/Size/Description

Quantity: Price:

(2) Item Number/Size/Description

Quantity: Price:

(3) Item Number/Size/Description

Quantity: Price:

(4) Item Number/Size/Description

Quantity: Price:

(5) Item Number/Size/Description

Quantity: Price:

(6) Item Number/Size/Description

Quantity: Price:

(7) Item Number/Size/Description

Quantity: Price:

(8) Item Number/Size/Description

Quantity: Price:

(9) Item Number/Size/Description

Quantity: Price:

(10) Item Number/Size/Description

Quantity: Price:


Shipping UPS Ground add $6.95

Tax-TN Residents Add 9.25%

Total

Payment Method:

  • Check
  • Master Card
  • Visa
  • Discover
  • Cardholder's Name
    Credit Card Number Expiration Date, Month / Year

    Orders must be faxed to (901) 452-3400. Please fill-out, print and fax this form.

    Shipping Costs for Flagpoles Require Special Quotation. We will call you or you may contact us before ordering.

    Please Do Not Mail Cash

    If you have any questions or comments, we want to hear from you.
    Telephone us at (901) 452-0026, toll free (800) 289-0036
    or e-mail us at info@amflag.com
    ©Copyright All rights reserved by American Flag & Flagpole Company 2005-2009
    Graphic Design and Website Development by Artistic Legends, Inc.