SEJ Cabinet Consultation 2019
January 26 - 29, 2019 • Housing Form for Epworth By The Sea
Roommate if other than Spouse:
Position / Title:
LODGING OPTIONS: Please check applicable rate
SINGLE: $554.56 per adult staying 1 adult per room
DOUBLE: $376.10 per adult staying 2 adults per room
SINGLE: $589.15 per adult staying 1 adult per room
DOUBLE: $400.31 per adult staying 2 adults per room
SINGLE: $634.06 per adult staying 1 adult per room
DOUBLE: $434.87 per adult staying 2 adults per room
BANQUET ENTREE SELECTION:
Please Select One:
Rates are per person, based on the number of adults staying in the room together and include lodging for 3 nights, 8 meals including Monday banquet, program fees and taxes.
Full Payment with individual payment is due: December 28, 2018.
Number Adults in Room:
I am paying for how many people?
My room is being paid for by:
Epworth Cancellation Policy: Any cancellations after December 28, 2018 will forfeit the registration fee and the first night's lodging.
Any cancellations after January 18, 2019 will forfeit the full charges per person.
Make check payable to Epworth By The Sea.
Check Amount: $
OR Enter Credit Card Payment Below:
Name on Card
Credit Card Type
Amount to Charge: $
Credit Card Number
3 Digit Security Code
Expiration Date (mm/yy)
Billing Address Zip Code
Check to affirm I am authorized to make these credit card charges.
I Authorize these charges
I am registering for CEU credit.
Please submit this form online, or you may print and FAX to Tiffany Flavell at 912-634-0642 or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Phone: 912-638-8688 • Fax: 912-634-0642
For further information please email firstname.lastname@example.org
No phone reservations accepted. No pets or alcohol. Check-in: 4:00pm - Check-out: 11:30am
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR E-MAILED TO YOU *
This form is for Epworth By The Sea Housing ONLY.