St. Simons Island Storytelling Festival
COMMUTERS ONLY
Epworth By The Sea
February 16 - 18, 2024

Your Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Name(s) for Nametag: *

Total Number of Attendees: *

Arrival Date: +

Departure Date: Date: +

**COMMUTER REGISTRATION FEE:
$150.00 PER PERSON
(INCLUDES SATURDAY LUNCH AND SATURDAY SUPPER)

PLEASE INCLUDE TOTAL PAYMENT WITH REGISTRATION BY JANUARY 19, 2024.
Make check payable to: Epworth By The Sea.

Check #:

Check Amount:

**WE DO NOT ACCEPT AMERICAN EXPRESS CREDIT CARDS.**

Name on Card

Credit Card Type

Amount To Charge:

CARD NUMBER:

Expiration Date (mm/yy)

3 Digit Security Code:

Billing Address Zip Code:

Authorization:

I am authorized to make these credit card charges:

Today's Date: +

Authorized Signature:

clear

How did you hear about this Storytelling Event?