Sponsorships

Sponsorship

Agency/Company Name

Mailing Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Website

Contact Name

First Name *

Last Name *

Contact Title/Role

Phone

ext Extension

js79bep38q3x

Please upload your agency logo

No file selected

Click or drag here to add files

Sponsorship Amount

Payment Option

Pay Now by Card/ACH
Pay by Check or Invoice

Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Expiration Date

Security Code

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Number

Routing Number

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

If paying by check, please remit to: Kentucky CASA Network, 1640 Lyndon Farm Court, Suite 108, Louisville, KY 40223

An invoice will be emailed to the address on this form.

Advocacy at the Core: 2025 Kentucky CASA Conference

Advocating with Purpose, Pursuing Excellence

November 17-18, 2025 - Covington, KY

Sponsorship