100 Main Library Rm 4039
Iowa City, IA 52242-1420
Telephone: (319) 335-4149
Fax: (319) 335-4154

The sponsor contribution is $50. Please either send a check to our office (address above), or use ourĀ online donation service. Application and check due AT LEAST one month prior to your program date. If opting to pay online, please include a copy of your receipt with this form by attaching it below.

 
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Street, City, State, Zip
e.g. 123-456-7890
e.g. 123-456-7890
Street, City, State, Zip
:
Must be 20 or more
Lecture, banquet, conference, etc.
newsletter, PSAs, radio, flyers, etc
Programs held in conjunction with a dinner or luncheon may ask attendees to pay the cost of the meal only.
Take a screenshot of the confirmation of your payment and include it with your application. If sending a physical check, leave this field blank.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx zip.