Pre-Flag Installation Questionnaire
Please fill out this questionnaire to provide us with the necessary information for the safe and prompt installation of your Rotary flag.
Customer Information
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number (mobile preferred)
Please enter a valid phone number.
Installation / Billing Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province
Postal / Zip Code
Installation Site Details
Type of Installation
Residential
Commercial
Type of Property
House
Office
Other
Requested Installation Date
-
Month
-
Day
Year
Date
Standard Installation location is near the roadway directly aligned with the front door of the main structure of the property. Please list any items of note that may be helpful when we call in UTILITY LOCATES or establishing the sleeve for the flag pole.
Submit
Should be Empty: