The 9th Annual Gilder / Forbes Telecosm Conference:

TELECOSM 2005

Date To Be Announced | The Resort at Squaw Creek, Lake Tahoe


REGISTER FOR TELECOSM 2005 before March 1, 2005 and RECEIVE
75% OFF THE CONFERENCE LIST PRICE! PLUS, REGISTER A GUEST, FRIEND, OR COLLEAGUE FOR FREE AND RECEIVE A FREE TRANSCRIPT OF TELECOSM 2004! That’s right, two can attend Telecosm 2005 for just $750.00!  (NOTE: Payments will only be processed on approved applications.)


To take advantage of this tremendous offer, please complete and submit the following form.
Fax: (413) 644-2122,  Mail: Gilder Publishing, LLC, 291A Main Street, Great Barrington, MA 01230

1. Contact Information

Attendee #1

Attendee #2

Name  ______________________________

     __________________________________

Title  _______________________________

     __________________________________

Company  ____________________________

     __________________________________

Street  ______________________________

     __________________________________

City, State, Zip   _______________________

     __________________________________

Email  _______________________________

     __________________________________

Phone  ______________________________

     __________________________________

Fax  ________________________________

     ___________________________________


2. Payment Information
ÿ (please check)  I understand that I am committing to attending TELECOSM 2005 (date to be announced) with my payment of $750.00.
(Yes, payments may be broken up between two cards or checks.)

 

Card 1

Card 2

Card Type:  _________________________

     ___________________________________

Card Number: _______________________

     ___________________________________

Expiration Date: ______________________

     ___________________________________

Name on Card:  ______________________

     ___________________________________

Amount to Charge Card: _______________

     ___________________________________


Cancellation Policy

Cancellations received in writing (a faxed letter is acceptable) by August 1, 2005, will be honored with a full refund of
the conference registration fee. Cancellations after August 1, 2005 will not be honored with a refund. A substitute from
the same organization may take the place of a registered attendee, or the conference registration fee may be applied to
another conference hosted by Gilder Publishing, in connection with Forbes Inc., within one year of the date of the conference
to which registrant was originally registered.

ÿ Yes, I have read and understand the Gilder/Forbes conference cancellation policy. (please check)