Nac Visit to Ukraine 18-20 October 2005

COMPETITIVE CONSULTING CONFERENCE: AGILITY, INNOVATION & INTERNATIONALISATION Tbilisi, Georgia 3-4 November, 2016

RADISSON BLU IVERIA HOTEL REGISTRATION FORM

Please, complete the details below, and e-mail this form, attached ID card and copy of credit card to:

Ms. EkaterineLitanishvili Group Sales Coordinator Tel.: + 995 322 402 200 E-mail: [email protected]

CC : CC : Tako Kvernadze Ms. Irina Dekanoidze M&E Sales Manager Advice for Small Businesses, EBRD Tel.: + 995 322 402 200 Tel.: +995 32 2447431 E-mail : [email protected] E-mail : [email protected]

Name of the guest: Address: Telephone number: Fax number: E-mail address: Number of Rooms: Arrival Date/Time: Departure Date/Time:

Special Room rate: � USD 130 single / USD 150 double Standard Class Room per night* � USD 155 single / USD 175 double Superior Class Room per night* � USD 180 single/ USD 200 Business Class Room per night* * The rates include Super Buffet Breakfast at Italian restaurant Filini and exclude 18% VAT;

Rooms can be booked until 10 th of October 2016 at the above mentioned rates. After this date the reservations will be done upon room & rates availability.

Additional requests: � Non smoking room ?� Smoking room � Room with 1 King Size Bed ?� Room with 2 Seperate Beds

PLEASE NOTE THAT A LIMITED NUMBER OF ROOMS ARE AVAILABLE FOR EACH RATE CATEGORY. PLEASE REGISTER EARLY.

ALL RESERVATIONS MUST BE GUARANTEED WITH A CREDIT CARD: You can use one of the following Credit Cards:

� American Express ?� Visa ?� Master Card Card Holder’s Name: Card Number:______Exp. Date:______

Cancellation and No Show: The room can be cancelled free of charge until 10 th of October 2016. The cancellation after this date will result in 100% cancelation fee of total room revenue.

Other information: Check in time: 3.00pm Check out time: Noon Early check-in: 100% fee of previous day Late Check out: upon availability of the hotel

Date: Signature: The reservation is confirmed only after receiving the confirmation number from the hotel.