Ewing Marion Kauffman Foundation - Conference Center Reservation Request Form

Section Three - Must sign before submitting
Form submitted by:*

First NameLast Name
Email*
example@example.com
Title*
Organization*
The below date and time will be recorded for acceptance of terms & conditions

MonthDayYear
Hour Minutes
Event Type ID
On submission of this form you are agreeing to the below:
- On behalf of, and as an authorized representative and agent for, the Organization, I have read and agree to the Kauffman Conference Center Conditions of Use policy , including the Release and Indemnification.
- I agree that the Foundation may use my personal information to communicate with me about the Foundation and programs I may find interesting, to personalize my experience on Foundation web sites, conduct academic/charitable research, collect data about me from other sources, and share my data with trusted Foundation affiliates. Please review our privacy policy which provides info on how we use and process your data.
Should be Empty: