KAOM 2025 Fall Conference

2025 Fall CME Conference Exhibitor Registration

Please fill out the form below to register as an exhibitor for KAOM's 2025 Fall Conference in Wichita, Kansas.
Information
Location: Kansas College of Osteopathic Medicine (KansasCOM)

217 E Douglas Ave, Wichita, KS 67202

Exhibit Date: Saturday, November 8th 2025

Time: Registration/breakfast begins 7.00am Saturday, November 8th. Full schedule to be released.

Exhibit Set-Up: 6.30am Saturday, Nov 8th. If you need to set up Friday evening, please contact us at kaom@kansasdo.org.
Form
Organization*
Organization Name
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Number of people attending*
Name of those attending (1)*

First NameLast Name
Name of those attending (2)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Exhibitor Options
1. One Exhibit Table
- $500
Entry for 2 individuals, 8-foot draped table, two chairs, and meals

2. Lunch Co-Sponsor
- $1,500
Includes a 15-minute presentation or product theater over lunch and one exhibit table (see above).

Limited spaces available - please confirm availability before payment: kaom@kansasdo.org

Please make your selection(s) below.
One Exhibit TableLunch Co-Sponsor (limited spaces, please check availability before payment)
Payment
Online (AffiniPay)Check
Online payments are processed through AffiniPay. Please click here to make your payment and then return to this page to complete your registration.

If paying by check, make out to:

Kansas Association of Osteopathic Medicine

Mail to:

Kansas Association of Osteopathic Medicine

P.O. Box 4368

Topeka, KS 66604
Notes
Should be Empty:

2025 Fall CME Conference Exhibitor Registration

Information

Form

Exhibitor Options

Payment