KIM: Kids In Motion

KIM Conference: Exhibitor Registration

Conference registration includes:
2 full breakfasts, 2 full lunches, 2 afternoon snacks and
1 evening reception

Want to become a sponsor? Click here

Please fill in the information below. Required fields are noted with an asterisk (*).

Exhibitor Information

Exhibitor registration is good for the exhibit space and 1 conference registration. Additional registrations are available for $350 each.

Company Name: *

Enter number of exhibit spaces here: *

Name for badge: *

Address Information

Street Address: *
City: *
State (or Province): *
ZIP: *
eMail: *
Phone: *
Cell Phone: *
Fax:
Check here if any of the above information needs to be private:
Please list items to remain private:
Web address:
Special Dietary Needs/ any allergies / medical conditions:
Register for the Special Needs morning pre-conference:
Register for the Special Needs afternoon pre-conference:
Register for the NHTSA School Bus pre-conference:
Sponsorship amount:

Payment Information

Non-Profit Organizations $400 by May 1st, $500 after May 1st (First time exhibitor? Contact us for your first time discount)
For-Profit Organizations $750 by May 1st, $1,000 after May 1st (First time exhibitor? Contact us for your first time discount)
Do you need an invoice?
How will you be paying? *
Purchase Order #:
Shirt size (e.g. Men L, Women M): *
Make checks payable to: KIDZ IN MOTION, INC. 5424 Conway Pointe Court Orlando, FL 32812	Or (via PayPal):
Cancellation Policy: 75% refund until July 15th; 50% refund July 15th through August 2nd with NO refunds after August 2nd All refunds will be mailed w/in 30-days after the conference.

Registration is NOT complete until payment has been made.

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