The 11th Annual Gilder / Forbes Telecosm Conference:

TELECOSM 2007

October 17 - 18, 2007

Register for TELECOSM 2007 on or before April 15, 2007
and SAVE 75% OFF the Gilder/Forbes Telecosm Registration Fee.

That’s right, you can attend Telecosm 2007 for just $495!
(Registration f orm must be received by 4/15/07..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

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 2007 (10/17 - 10/18) with my payment of $495.00
(Yes, payments may be broken up between two cards or checks.)

Card 1

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 October 1, 2007, will be honored with a refund of the conference registration fee. Cancellations after October 1, 2007 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)