Prepared from the corrected reading copy; not the original scanned commitment form.
Sponsorship Commitment Form
Fort Pierce Alumni Chapter Kidney Walk 2027
March 27, 2027 · Lawnwood Football Stadium
9:00 a.m. check-in · 10:00 a.m. walk · noon conclusion · Eastern Time
Business or organization name:
Contact person:
Address:
City, state and ZIP code:
Phone:
Email:
Selected sponsorship level (choose one):
□ Gold Sponsor — $2,500+
□ Silver Sponsor — $1,000–$2,000
□ Bronze Sponsor — $500–$1,000
□ Community Sponsor — $250–$500
□ Other Contribution — Custom amount
Contribution amount ($):
Payment method:
Authorized representative:
Title:
Signature:
Date:
Make checks payable to: Ft. Pierce (FL) Alumni Chapter of Kappa Alpha Psi Fraternity, Inc.
Mailing address: P.O. Box 1962, Fort Pierce, Florida 34950
Contact: Timothy Richardson, Kidney Walk Chairperson · jazzone33@gmail.com
A commitment is not a verified payment or confirmed sponsor listing.
Thank you for supporting kidney health awareness and our community!