Gift Order Form CONTACT Name Address City State Zip E-mail
METHOD OF PAYMENT CHECKLIST: Card Number Exp. Date Total: Signature Check Enclosed
SEND TO: ICC PO BOX 8056 Silver Spring, MD 20907
Amount $
small stuffed animal kid-sized clothes, pajamas and socks comb or hairbrush toothbrush (not toothpaste) completed gift order form $7 donation for overseas shipping