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Media Registration

Note: Bold lettering indicates a required field


  Company name :
  Contact Person :
First Last
  Contact Person Title:
  Street Address :
  City :
  State :    Zip Code :
  Country :
  Phone
Toll-Free if available
( ) -
  Fax
( ) -
  Web Address :
  E-mail :
 

Type of Media (Check one)

Print Trade Publication Electronic Media
Print Consumer Publication Freelance Writer
Television - National Book Author
Television - Local Blogger
Photographer Other Media (please describe)
 
 

Persons to be registered

First Last Title

   Previously attended the ABC Kids Expo

  Please check the following box to confirm that you agree with and understand that:
  You are authorizing All Baby & Child (ABC Kids Expo) to send you promotional materials and registration confirmation materials by mail, fax, email, phone, etc. Information contained on these forms may be supplied upon request to exhibiting manufacturers, media contacts, representatives and other approved attendees.
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Thank you for your participation in our educational conference
 

   






                 
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