The 9th Annual Gilder / Forbes Telecosm Conference:

TELECOSM 2005

September 26 - 28, 2005 | The Resort at Squaw Creek, Lake Tahoe


Register for TELECOSM 2005 on or before September 23, 2005
and SAVE OVER $400 OFF the Forbes.com Registration Rate ...

PLUS, REGISTER A GUEST, FRIEND, OR COLLEAGUE FOR FREE!


Thatís right, you and your spouse, guest, or colleague can both attend Telecosm
for just $1,095.
(Registration f orm must be received by 9/26/05.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
ˇ (please check) I understand that I am committing to attending TELECOSM 2005 (9/26 - 9/28/05) with my payment of $1,095.
(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 27, 2005, will be honored with a refund of the conference registration fee, less a $195 cancellation processing fee. Cancellations after August 27, 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.

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