<p> COMPETITIVE CONSULTING CONFERENCE: AGILITY, INNOVATION & INTERNATIONALISATION Tbilisi, Georgia 3-4 November, 2016</p><p>RADISSON BLU IVERIA HOTEL REGISTRATION FORM</p><p>Please, complete the details below, and e-mail this form, attached ID card and copy of credit card to:</p><p>Ms. EkaterineLitanishvili Group Sales Coordinator Tel.: + 995 322 402 200 E-mail: [email protected]</p><p>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] </p><p>Name of the guest: Address: Telephone number: Fax number: E-mail address: Number of Rooms: Arrival Date/Time: Departure Date/Time:</p><p>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;</p><p>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.</p><p>Additional requests: � Non smoking room ?� Smoking room � Room with 1 King Size Bed ?� Room with 2 Seperate Beds</p><p>PLEASE NOTE THAT A LIMITED NUMBER OF ROOMS ARE AVAILABLE FOR EACH RATE CATEGORY. PLEASE REGISTER EARLY.</p><p>ALL RESERVATIONS MUST BE GUARANTEED WITH A CREDIT CARD: You can use one of the following Credit Cards:</p><p>� American Express ?� Visa ?� Master Card Card Holder’s Name: Card Number:______Exp. Date:______</p><p>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.</p><p>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</p><p>Date: Signature: The reservation is confirmed only after receiving the confirmation number from the hotel.</p>