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


Field Of Honor - Individual Flag Order

INDIVIDUAL FLAG PURCHASER INFORMATION AND TAG INFORMATION

Please leave blank if the purchaser is an individual.  
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.

Payment

Payment

Please fill out and submit the Payment Information form.

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

Please call or text 978-873-1714 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/pole payment.


 

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