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There are two forms on this page.  The first form is for the “Individual Flag Dedication Information and Tag Information”.   The second form is for Payment Information.  First, please fill out the “Individual Flag Dedication Information and Tag Information” form.  When the information is completed, please click the “Submit Dedication” button.  Secondly, fill out the “Payment” Information form.  When the information is completed, please click the “Submit Payment Information”.

In addition to submitting the dedication and the payment information, in order to pay by credit card please use the links on this page to the secure checkout using Square.

Flag dedications are $40 each. Please email exchangeclubnewburyport@gmail.com with any questions.

 

Field Of Honor Individual Flag Order

Field Of Honor Individual Flag Order

2025 INDIVIDUAL FLAG DONATION AND DEDICATION TAG INFORMATION

We'll never share your email with anyone else. If you don't have an Email Address, please use your phone number.
Street Number, Name, and Apt #
Two characters
##### or #####-###


Tag Information:


The message may contain up to about 20 words.
Please select:
Dedicated By
Dedicated By
First Name
Last Name


Payment

Payment

Please fill out and submit the Payment Information form.
Flag dedications are $40 each.

If paying by check, please mail it promptly to:
The Exchange Club of Greater Newburyport
P.O. Box 31
Newburyport, MA 01950

If paying for a flag by Credit/Debit card, please complete the payment process at The Secure Square Web page for a flag dedication payment.

Please call or text 978-308-9880 with any questions. Thank You!

Payment Method


When you are paying by Credit/Debit Card, please make sure that you have successfully completed and submitted the Credit/Debit Card the information at The Secure Square Web page for a flag dedication payment.


Please email exchangeclubnewburyport@gmail.com with any questions.

Thank you from the Exchange Club of Greater Newburyport for your support!