Flag and Pin Request

Constituents may request Ontario flags and pins (at no charge) from my office. Please complete the form below to submit your request.

Please complete the form below to order Ontario flags and/or pins. If you choose to have them delivered to you, you MUST complete the address fields at the bottom of the form, or we will not be able to mail your flags and/or pins to you.

I would like to order an Ontario flag:

YesNo

How many pins would you like to order?

Which style of pin would you like to order? (Check all that apply)

Ontario FlagCoat of ArmsTrillium

Pins and flags can be picked up from my constituency office located at:

12 Perry St.
Woodstock, ON
N4S 3C2

What phone number should we call when your flags and/or pins are ready for pick up?

Phone*

What is the event for which you are requesting Ontario flags and/or pins?

Event details:

Date of event:

Contact Information:

First Name*

Last Name*

E-mail*

Phone Number*

Address*

Apartment (optional)

City*

Postal Code*

Please note that for larger orders our office may not be able to accommodate, or may have some delay in providing the amount requested.