Adding to Your Investment
To make an additional investment to your IEM account, print this form and mail it, together with your check, to the IEM office.
If you previously requested that your account be closed, your account is now inactive. To reactivate your account, place a check mark on the line below.
Remember: individual trader investments that you send to the IEM cannot exceed $500.
Name: _________________________________________
Security Code (up to 12 letters and numbers): ________________________
Email Address:__________________________________
Trader ID: _________________
Please reactivate my account:_______________________
Current Mailing Address:
________________________________________________
________________________________________________
________________________________________________
Additional Investment: $_______________________________
(maximum total investment: $500.00)
Signature: ___________________________________________
Date: _________________
Make checks payable to: University of Iowa
| Mail form and deposit to: | IEM Administrator W283 PBAB University of Iowa Iowa City, IA 52242 |
For office use only:
_________ _________ _________ _________
id receipt groups email

