Iowa Council for International Understanding

 

Interpreter Request Form

ATTENTION!!

Our online interpreter request form is not functioning at this time.

We invite you to contact our office with your request

via the following:

Interpreter/Translator request line:

515-282-8269 x 16

Fax:

515-282-0454

E-mail:

cammeo.medici@iciu.org

WE ACCEPT VISA AND MASTERCARD.

Contact Information:

Your Name:
Your E-mail:
Your Company :
Contact:
(If different from above)
Phone:
Fax:

General Information:

Language Needed :

Industry: Select One

Medical
Legal
Other:

Describe Situation for Which Interpreter is Needed:

Location:

Location/Building/Business:
Physical Address: :
City:
State:
Zip:
Phone:
Contact:

Billing Information:

(if different from contact information above)

Company Name:
Contact Name:
Mailing Address: :
City:
State:
Zip:
Phone:
Fax:

Special Instructions:

Please review the above information to confirm that it is correct and then click the SUBMIT button below.

 

 


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