Southeastern Writers Association
Friday, June 9, 2023 - Tuesday, June 13, 2023
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: $744.80 per person staying 1 adult per room
Double: $516.16 per person staying 2 adults per room
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:
NAME ON CARD
3 DIGIT SECURITY NUMBER
AMOUNT TO CHARGE:
BILLING ADDRESS ZIP CODE:
I Am Authorized to make these Credit Card charges
EPWORTH CANCELLATION POLICY
• Any individual cancellation after May 12, 2023 will forfeit $50.00 per person.
• Any individual cancellation after May 26, 2023 will forfeit the first night's charge per person.
• Any individual cancellation after June 2, 2023 will forfeit the full charges per person.
Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
Reservations must be made online.
For any additional information regarding accommodations, contact Tiffany Flavell:
firstname.lastname@example.org 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.*