InnisGael  ORDER PAGE

Date:________________

PLEASE PRINT

Your Name:___________________________________________________

Ship to Address: _______________________________________________

City, State, Zip Code:____________________________________________

Telephone Number (for order processing): ____________________________

Payment Method:   p Faxing Check    p Mailing Check/M.O.  

PLEASE MAKE CHECKS PAYABLE TO FCHP, INC.

Please print this form and fax it to or mail it along with payment.  If using www.PayPal.com please make sure you provide info as outlined above.  Please email us if you have any questions. We only accept credit cards through PayPal, do not email us your credit card numbers. PLEASE ORDER EARLY FOR CHRISTMAS.

TO PLACE YOUR ORDER:

You can FAX your check Toll Free to 1-877-875-5022 along with this order form or

You can email us your order and we will invoice you through PayPal, so you can use your credit card securely.

You can also click on the PayPal logo and place your order directly and securely.

You can also mail your payment to  

FCHP Inc., Wholesale To The Public Center,  P.O. Box 7106, High Point, NC  27264