Post Critical Incident Seminar
Sunday, March 22, 2020 - Wednesday, March 25, 2020
Epworth By The Sea

Rates are per person/per night including lodging meals starting
Breakfast Monday to lunch Wednesday and gratuity.

Rates are tax exempt. Payment must be made with a
state of Georgia check or credit card.

*Please provide Georgia Sales tax exemption and
hotel tax exemption forms with reservation.

*Email for rates if not tax exempt.

Conference Dates:
 +
 +
Turner Lodge *
Who is paying for spouse?
*Spouse fees may be paid upon arrival.

Agency/Organization Contact Information

Pay by Check

Or Submit Credit Card Information Below:

Credit Cards must be issued by the State of Georgia. State issued credit cards are tax exempt. Sales tax and hotel/motel tax exemption forms must accompany this form. Associations, booster clubs and personal methods of payments are not tax exempt.
      *Attendee may pay their spouse additional night fees upon arrival

    AUTHORIZED USER OF CREDIT CARD
AUTHORIZATION OF CARD USE
- I certify that I am the authorized holder and signer of the credit card referenced above.
- I certify that all information above is complete and accurate.
- I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “AUTHORIZED AMOUNT” field. I understand this is only for up to this amount during the time period of “DATES OF CHARGES” referenced above. If additional charges are going to be authorized a new form will have to be completed.
Signature
clear


You will receive a confirmation once reservation is processed.

Epworth Cancellation Policy:
Cancellations after March 16, 2020 will forfeit $100.00.
Cancellations within 72 hours of arrival will forfeit full charges.

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, contact
Renthia Lewis at rlewis@epworthbythesea.org.

* CONFIRMATION OF YOUR RESERVATION WILL BE EMAILED OR MAILED 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.*