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Welcome to the booking form for Telco 2.0™ 7th Executive Brainstorm 4-5 November.

(If you have any problems filling in this form or any other questions please email contact@telco2.net or call + 44 (0) 207 247 5003)

If you have a VIP code, please enter it here:

Select your package

I would like to pay for a SINGLE delegate place
Onsite participant £1750.00 (+VAT = £2056.25)
Single distance delegate place £1350.00 (+VAT^** = £1586.25)

** VAT added for UK delegates only

I would like to book MULTIPLE participant places

Please register my details first then contact me about special deals on multiple participant places.

Your contact information

PLEASE ENTER INFORMATION AS YOU WOULD LIKE IT TO APPEAR ON YOUR BADGE. Fields marked * are required.

First name

Last name

Company name

Company type

Which of these best describes your business unit (choose one):
*

Job title

Address 1

Address 2

City

I would like to receive my complimentary copy of

	(Recommended Choice) 7 Strategic Priority Areas for new Telecoms Business Models
	Mobile Broadband: Urgent need for new business models
	Voice and Messaging 2.0: Innovators' Directory 2009
	Digital Marketing & Advertising 2.0: new Use Case
	Business Model Innovation in the TMT sector: Intro to new Framework

Yes I would like to attend the complimentary post conference workshop

Postcode

Country

Email

Business phone

Where did you hear about this?

Billing information

If you have a free place you do not need to complete these fields

First name	*
Surname	*
Billing address 1	*
Billing address 2
City	*
Postcode/Zipcode	*
State (US only)
Country	*
Telephone

Terms & Conditions (please read carefully)

CANCELLATIONS: Cancellations received in writing before 26 March 2010 will be subject to a service charge of £125. The full event fees remain payable on and after 26 March 2010. Substitutions are welcome at any time. It may be necessary for reasons beyond the control of the organiser to alter the content and timing of the programme or the identity of the speakers. This contract is subject to English Law. FEE: There are various fees for the event dependent on the number of days that you select and the point at which you book, as detailed on the pricing table. Prices include lunch, refreshments, event documentation, detailed post event analysis report, and a single-user license to a Telco 2.0 Exec Briefing report. All fees are subject to UK VAT @ 17.5%. TAX: According to British customs and excise regulations, paying participants are required to pay 17.5% British VAT on any course taking place in Britain. ARE YOU REGISTERED? You will always receive an acknowledgement of your booking. If you do not receive anything please email us at contact@telco2.net call on: + 44 (0) 207 247 5003. DATA PROTECTION: The personal information shown, and/or provided by you will be held on a database. It may be used to keep you, or any additional names provided by you, up to date with research and services from the Telco 2.0 Initiative. If you do not wish your details to be used for this purpose, please email contact@telco2.net or call + 44 (0) 207 247 5003 and ask for the database manager.

I have read and agree to the Terms & Conditions, including cancellation and substitutions *

Payment options

	Credit Card online (not Amex) Unfortunately we are not able to process American Express cards. Please choose an alternative method.
	Cheque
	Bank transfer
	Other

Participants must ensure that payment is received before the date of the event or payment will be required on the day.

contact@telco2.net
Telephone: + 44 (0) 20 7247 5003

Telco 2.0 is a trademark of Simon Torrance Limited, which trades as STL Partners