2026 KWCA Kansas Shrine Duals Sponsorship/Advertising Order Form

The deadline for advertising submissions has passed for the 2026 Kansas Shrine Duals. We are no longer able to make additions to the program. If you would like to make a general support donation, that option remains available.

All required fields, indicated by a * must be completed to submit your advertising order form. Once your form is submitted, you will receive an auto-reply email from Jotform confirming your form was submitted successfully. If you do NOT receive this automatic email, your form was not submitted successfully, please call the Kansas Shrine Events office at 913-602-8656 to complete your order.

Advertiser/Sponsor Name*

Advertiser/Sponsor Contact*

First NameLast Name

Advertiser/Sponsor Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Advertiser/Sponsor Email*

example@example.com

Advertiser/Sponsor Mailing Address*

Mailing Address

Street Address Line 2

CityState

Zip Code

Ad in honor of a specific participant? Please put their name here (not required)

If you are providing a completed advertisement and/or logo, please upload that here.

If you would like the Kansas Shrine Events staff to design an advertisement for you (at no additional charge) please provide any logos, pictures, art work, etc. that you would like used in the creation of your ad

Ad Copy / Design Notes - Please include any business info and/or specific messaging you would like used in the creation of your advertisement. Please include any design notes, such as colors, layout, etc. that you would like used in creating your ad. Due to the volume of ads submitted, proofs will be sent only upon request. If you need a proof sent for approval, please let us know here.

Prefer to pay via check? Please indicate in this box, which ad type/size or which sponsorship you would like to purchase and an invoice will be emailed to you for payment processing. If you are paying via credit card, you do not need to complete this box, please continue to the credit card processing box below.

CREDIT CARD PAYMENTS ONLY: Please Select All Applicable Sponsorships/Advertisements. *If you are wanting to pay by check, do NOT select any items here. This section is for Credit Card transactions ONLY.

General Support Donation

$1.00 Donation Amount

Total

$0.00

Credit Card

After submitting this form, you will receive an auto-reply email confirming your submission from sender "JotForm". If you DO NOT receive this auto-reply email, it means your form has NOT been submitted successfully. Please verify that all required fields are completed and re-submit your form or contact the Kansas Shrine Events office at 913-602-8656 for assistance.