2026 KCMS CME/Social Sponsor Registration
Register and pay with:
Credit Card
Check
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Sponsorship Levels
Choose a sponsorship level:
Gold - $1,500
Silver - $1,200
Bronze - $900
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Company Information
Company Name
*
Company Contact Name
*
First Name
Last Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Contact Email
*
example@example.com
Company Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company Website
*
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Brand/Product Information
Logo for marketing materials
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
100 word brand or product description for event marketing materials:
*
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Representative Information
Representative One
First Name
Last Name
Representative One Email
example@example.com
Representative One Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Representative Two
First Name
Last Name
Representative Two Email
example@example.com
Representative Two Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Representative Three Email
example@example.com
Representative Three Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Representative Four
First Name
Last Name
Representative Four Email
example@example.com
Representative Four Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Information
Any additional information you would like to provide to the conference?
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My Products
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( X )
Gold Sponsor
$1,500.00
$
1,500.00
Silver Sponsor
$1,200.00
$
1,200.00
Bronze Sponsor
$900.00
$
900.00
Submit
Should be Empty: