The 10th Annual Gilder / Forbes Telecosm Conference:
TELECOSM
2006
October 4 - 6, 2006 | The Resort at Squaw Creek, Lake Tahoe
Attendee
|
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 2006 (10/4 - 10/06/06) with my payment of $599.00
(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 September 1, 2006, will be honored with
a refund of the conference registration fee, less a $195 cancellation processing
fee. Cancellations after September 1, 2006 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)