I would like to make a donation or contribute my time to the Geneva Communtiy or Lecture Series

Name: _______________________________________________________

Address: _________________________________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________________________________

Phone: __________________________________________________________________

e-mail address (for in-house use ONLY ): ______________________________________________________________________________

I would like to contribute to the Geneva Community by_____________________________________________________________

_____________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

I would like to make a monitary donation of: $____________

Please print this page and mail it to:

Geneva Campus Ministry
120 North Dubuque Street
Iowa City, IA 52245

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