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SEJ CABINET CONSULTATION
Theme - "Wesleyan Discipling: A Way of Healing"
Monday, January 15, 2024 - Thursday, January 18, 2024
Housing Form for Epworth By The Sea
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
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California
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Hawaii
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Maryland
Massachusetts
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New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Name for Nametag(s):
*
Rates are per person, based on the number of adults staying in the room together, and include lodging for 3 nights, 5 meals (Breakfasts and Lunches only), registration fee for the conference and taxes.
PLEASE SELECT APPLICABLE RATE:
PITTS
$626.15 per adult staying 1 adult per room
$470.78 per adult staying 2 adults per room
ROBERTSON INN
(SOLD OUT - NO ROOMS AVAILABLE)
$678.95 per adult staying 1 adult per room
$498.95 per adult staying 2 adults per room
TURNER LODGE
(SOLD OUT-NO ROOMS AVAILABLE)
$728.24 per adult staying 1 adult per room
$537.68 per adult staying 2 adults per room
I am paying for how many people:
*
TOTAL AMOUNT DUE FOR ROOMS:
*
Please submit a question for the Panel Discussion:
WORKSHOPS: Please select the time you wish to attend each workshop.
Clergy Health
*
Tuesday 2:30pm-3:45pm
Tuesday 4:00pm-5:15pm
Wednesday 3:00-4:15pm
General Secretaries
*
Tuesday 2:30pm-3:45pm
Tuesday 4:00pm-5:15pm
Wednesday 3:00-4:15pm
Dr. Claire Bowen
*
Tuesday 2:30pm-3:45pm
Tuesday 4:00pm-5:15pm
Wednesday 3:00-4:15pm
FULL PAYMENT DUE WITH INDIVIDUAL RESERVATIONS:
DUE DECEMBER 18, 2023
Special Request
(Disability, Diet, etc.)
Roommate Request
(Roommates other than family, complete separate form.)
Number of Adults in Room:
*
My room is being paid for by:
*
Number of Nights
*
Arrival Date:
*
+
Departure Date:
*
+
If paying by check, please print this form and mail with your check.
CHECK NUMBER:
CHECK AMOUNT:
Or Submit Credit Card Information Below:
**WE
DO NOT
ACCEPT AMERICAN EXPRESS CREDIT CARDS.**
CREDIT CARD TYPE
VISA
MASTERCARD
DISCOVER
AMOUNT TO CHARGE:
NAME ON CARD
Credit Card Number:
EXP. DATE
3 DIGIT SECURITY NUMBER
BILLING ADDRESS ZIP CODE:
I am authorized to make these credit card charges:
I Am Authorized
Today's Date:
+
Signature
clear
How did you hear of this event?
*
Recommended Reading:
3 Practices for Crossing the Difference Divide
by Jim Henderson and Jim Hancock
Epworth Cancellation Policy:
• Any individual cancellation after December 18, 2024 will forfeit $140.00.
• Any individual cancellation after January 2, 2024 will forfeit the first night’s charge per person.
• Any individual cancellation after January 8, 2024 will forfeit the full charges per person.
Please submit this form online, or you may print & mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
please email Tiffany Flavell at tflavell@epworthbythesea.org or call 912-638-8688.
* 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 for your records before you submit.**