KNOW Network Membership Form
To apply for membership in The KNOW Network, simply complete this application form and return with the membership fee.
o I enclose a check made payable to Teleos for a full 12-month membership at the standard fee of
$2995 US Dollars.
o I have instructed my bank to transfer US$ ___________ to the Teleos account (bank details will be provided upon receipt of this completed membership application form).
o I wish to pay by MasterCard or Visa credit card (debit will be made in British pounds sterling at current rate of exchange):
Card: __________________ No. _____________________________________ Expiry Date: _______
Name on Card: ________________________________
o Please invoice me for a full 12-month membership.
Our purchase order number is: _____________________________________________________
Country: __________________________________________ Post/Zip Code: ___________________
Tel: _____________________________________ Fax: _____________________________________
Membership fee inclusive of VAT for UK-based subscribers.
Membership in The KNOW Network is open to all organizations. Membership is for a 12-month period, starting upon receipt of the subscription fee. 100 employees can participate as part of an organizational membership.
Data Protection Act
The information you provide will be held by Teleos and may be used to keep you informed of other products or services Teleos or The KNOW Network offer. If you do not wish to receive the information, please tick this box. o
JOIN THE KNOW NETWORK – FAX OR RETURN THIS FORM TO:
Rory L. Chase, Managing Director
The KNOW Network
5 St. Julian's Avenue
Ludlow, Shropshire SY8 1ET
VAT Reg. No. 745 6681 00
Tel/Fax: +44 1584 878576