Southeastern Writers' Association
Friday, June 12, 2020 - Tuesday, June 16, 2020
Housing Form for Epworth By The Sea
Please Check One:
Name(s) for Name Tag:
Address Line 2
The rates below are per person, based on the room occupancy
and include lodging for 4 nights, 11 meals, taxes and Georgia Motel Fee.
Single: $653.36 per person
Double: $453.20 per person
Single: $611.88 per person
Double: $408.32 per person
Single: $699.44 per person
Double: $468.24 per person
TOTAL AMOUNT DUE FOR ROOMS:
(Disability, Diet, etc.)
(Roommates other than family, complete separate form.)
Number of Adults in Room:
I am paying for how many people:
My room is being paid for by:
How did you hear about this event?
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS
MAKE CHECK PAYABLE TO EPWORTH BY THE SEA
If paying by check, please print this form and mail with your check.
Or Submit Credit Card Information Below:
CREDIT CARD TYPE
AMOUNT TO CHARGE:
NAME ON CARD
NOTE: IF PAYING BY CHECK PLEASE PUT "N/A" IN THIS SPACE!
3 DIGIT SECURITY NUMBER
BILLING ADDRESS ZIP CODE:
I Am Authorized to make these Credit Card charges
EPWORTH CANCELLATION POLICY
• Full refund if cancellation is before May 28, 2020
• Any individual cancellation after May 28, 2020 will forfeit the first night's charge.
• Any individual cancellation after June 4, 2020 will forfeit the entire per person charge.
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
P. O. Box 20407
Reservations must be made online.
For any additional information regarding accommodations, contact Tiffany Flavell:
email@example.com or 912-638-8688
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
No phone reservations accepted. No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m. Sometimes great opportunities are missed when too many people wait until the last minute to register. We cancel undersubscribed events so please register early. We don't want to cancel what you want!!
This form is for Epworth By The Sea ONLY.
*PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*