2026 COMMITMENT FORM

2026 COMMITMENT FORM
Thank you for supporting The Kiefer Foundation! Your support enables us to continue to carry out our mission to end distracted driving and all associated traffic deaths and injuries.

Please complete and submit this form to confirm your sponsorship commitment, or for additional information or questions, please contact:

Kathleen Borschke: kathleen@mkiefer.org
Sponsor Name*
As to appear in event materials
Contact Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SPONSORSHIP SELECTION
Select the sponsorship level you are interested in below:*
PAYMENT
Upon submission of your sponsorship commitment (this form), an invoice will be provided by The Kiefer Foundation and will allow you to pay by: check, ACH or credit card.

The Kiefer Foundation is a 501(c)3 non-profit organization and contributions are tax deductible. Tax ID: #81-4314355
LOGISTICS + FULFILLMENT
If the point of contact we should be communicating fulfillment details with is different than the contact listed above, please provide us with appropriate contact information below.
Logistics / Fulfillment Contact

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
LOGO SUBMISSION
Logo Submission Options - Select one below:

Use logo on file from the 2025 eventUpload new logo (upload below)
Logo Uploads: Please upload 2 logo files. Provide us with a high resolution logo (eps file preferred) AND a jpg or PNG to be used for your sponsorship assets.

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2026 COMMITMENT FORM

SPONSORSHIP SELECTION

PAYMENT

LOGISTICS + FULFILLMENT

LOGO SUBMISSION