2023 KSHC Summit on Homelessness & Housing Sponsorship Form

2023 SUMMIT ON HOMELESSNESS & HOUSING

SPONSORSHIP FORM

MAY 23-24, 2023

PRAIRIE BAND CASINO & RESORT

12305 150TH ROAD, MAYETTA, KS 66509
Event Sponsor's Name*
(Business, Organization or Individual)
Name of Contact Person*
Title
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Will the Invoice for Payment be sent to the above Contact Person?

YesNo
Name of Person to Send Invoice To*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number