Clergy Spouse's Retreat 2020
Epworth By The Sea • St. Simons Island, Georgia
March 13 - 15, 2020
Address Line 2
Departure Date: Date:
(Roommates other than family, complete separate form.)
Number Adults in Room:
My room is being paid for by:
I am paying for how many people?:
Special Request (Diet, disability, etc):
, BASED ON THE NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER,
AND INCLUDE LODGING FOR 2 NIGHTS, MEALS FROM FRIDAY SUPPER THROUGH SUNDAY LUNCH, AND TAX.
PLEASE CHECK APPLICABLE RATES:
Pitts / Booth
Single Per Person: $259.86
Double Per Person: $171.92 per person
Single Per Person: $282.90
Double Per Person: $188.04 per person
Single Per Person: $308.26
Double Per Person: $211.08 per person
FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY FEBRUARY 14, 2020
Make check payable to Epworth By The Sea
Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.
Name on Card
Credit Card Type:
Amount To Charge:
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
How did you hear about this event?
Epworth Cancellation Policy:
Full payment due with individual reservation by February 14, 2020.
Any individual cancellation after February 14, 2020, will result in a forfeiture of $40.00 per person.
Any individual cancellation after February 28, 2020, will forfeit first night's charge.
Any individual cancellation after March 6, 2020, will forfeit full charge per person.
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
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
or call 912-638-8688.
**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**