Gift Order FormCONTACT

Name

Address

City State Zip

E-mail

METHOD OF PAYMENT CHECKLIST:

Card Number

Exp. Date Total:

Signature

small stuffed animal kid-sized clothes, pajamas and sockscomb or hairbrushtoothbrush (not toothpaste)

completed gift order form$7 donation for overseas shippingCheck Enclosed Amount $

SEND TO:ICCPO BOX 8056Silver Spring, MD 20907