CARRIER / COMPANY REGISTRATION
Company _______________________________________________ Contact ’ s Number ________________________________________
Contact Person _________________________ Contact ’ s Email _________________________
Attendee ’ s Name : Attendee ’ s Name Attendee ’ s Name
Attendee Registration |
�Mem . - $ 250
�Non-Mem . - $ 400
|
Exhibitor Registration |
�Mem . - $ 250 |
�Non-Mem . - $ 400 |
Booth Registration |
�Mem . - SEE FEES BELOW |
�Non-Mem . - $ 1,500 |
Hospitality Room |
�Mem . - FREE
�Non-Mem . - $ 500
|
Spouse / Guest |
�Mem . - $ 100
�Non-Mem . - $ 200
|
Socials Only
Tuesday Lunch Only Amount $
�Mem . - $ 100 �Non-Mem . - $ 200
�Mem . - $ 50 �Non-Mem . - $ 150
�Mem . - $ 250 �Non-Mem . - $ 400
�Mem . - $ 250 �Non-Mem . - $ 400
�Mem . - $ 250 �Mem . - $ 250
�Mem . - $ 500 �Mem . - $ 500
�Mem . - FREE �Non-Mem . - $ 250
�Mem . - $ 100 �Non-Mem . - $ 200
�Mem . - $ 100 �Non-Mem . - $ 200
�Mem . - $ 50 �Non-Mem . - $ 150
�Mem . - FREE �Non-Mem . - 250
�Mem . - $ 100 �Non-Mem . - $ 200
�Mem . - $ 100 �Non-Mem . - $ 200
�Mem . - $ 50 �Non-Mem . - $ 150
Please indicate your top three booth locations :_______________________________________________________________________ Do you need electricy at your booth ? � Yes � No
|
HOSPITALITY NIGHT SPONSORS
For all sponsorship opportunites visit
|
EARLY BIRD SAVINGS |
� TOTAL DUE : |
kaia . com / annualconvention . |
|
|
PAYMENT OPTIONS � Check ( enclosed ) made payable to KAIA
Subtract $ 25 from full conference registration when you register by
DEC . 19
BOOTH FEES
� IP President ’ s Club Booth - $ 0
� IP Platinum Booth - $ 0
� IP Gold Booth - $ 250
� IP Silver Booth - $ 350
� IP Bronze Booth - $ 500
� Credit Card #_____________________________________ Exp . Date __________ CVV ______ �Visa � MC � Amex Billing Address ____________________________________ City ___________________ State _______ Zip ___________
$
Cancellation / Refund Policy . Requests received within 30 days or more of the event , will receive a 50 % refund . No refund will be issued for any cancellation requests on or after January 16 , 2023 . Any approved refunds in full regardless of reason will be subject to a $ 30 processing fee . No refunds will be processed for “ no shows ”. Any other requests for cancellation beyond these guidelines will be assessed by KAIA and a refund will be granted on a case-by-case basis . All cancellations / changes must be made in writing .
Conference Attire . The conference is a business casual event . All after-hours events are casual . Send More , Save More : Send 3 + agents from one agency , save $ 10 per registration ( on top of EB discount )
How to Register :
1 . Mail : KAIA , 815 SW Topeka Blvd ., Topeka , KS 66612 2 . Email : info @ kaia . com 3 . Online : kaia . com / events or scan QR Code :
Register & choose your exhibit space at kaia . com / annualconvention
KAIA . com | Register Today !