KIM: Kids In Motion

KIM Conference: Exhibitor Registration

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

Exhibitor Information

Company Name: *

Name for badge: *

Address Information

Check here if this information is to remain private:
Street Address: *
City: *	State (or Province): *
ZIP: *	eMail: *
Phone: *
Fax:

Payment Information

Non-Profit Organizations $400 by April 1st, $500 after April 1st (First time exhibitor? Contact us for your first time discount)
For-Profit Organizations $750 by April 1st, $1,000 after April 1st (First time exhibitor? Contact us for your first time discount)
Do you need an invoice?
How will you be paying? *
Purchase Order #:
Make checks payable to: KIDZ IN MOTION, INC. 5424 Conway Pointe Court Orlando, FL 32812	Or (via PayPal):
Cancellation Policy: 75% refund until June 25th; 50% refund June 26th through July 2nd with NO refunds after July 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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