United Methodist Men's Retreat
April 23-24, 2021
Epworth By The Sea Housing Form
Address Line 2
ROOM RATES ARE PER PERSON, based on the number of adults staying in the room together, and include lodging for 1 night, 3 meals and taxes.
View accommodations at www.EpworthByTheSea.org:
Please check applicable rate:
Single Occupancy: $141.45 Per Person
Double Occupancy: $90.56 Per Person
Single Occupancy: $152.97 Per Person
Double Occupancy: $99.78 Per Person
Single Occupancy: $169.10 Per Person
Double Occupancy: $112.45 Per Person
We request roommates complete separate forms, and mail form in together (couples may send in one form).
Departure Date: Date:
Number of Adults in Room:
I am paying for how many people?
My room is being paid for by:
Special Request (Diet, disability, etc):
Submit form with full payment to: Epworth By The Sea.
Or Submit Credit Card Information Below:
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:
If you cancel your registration on or before 4:00pm, Friday, April 2, 2021,
you will receive a full refund.
If cancellation is made after 4:00pm, Friday, April 2, 2021,
the cancellation penalty is $40.00 per person.
Cancellations after April 12, 2021 will result in forfeiture of entire per person charge.
Unexpected early departures will be charged for total nights reserved.
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.
Email Questions to Tiffany Flavell: firstname.lastname@example.org
* 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.*