"Springtime By The Sea: Island Hopping"
May 20 - 23, 2019
Housing Form for Epworth By The Sea
Please Check One:
Name(s) for Name Tag:
Address Line 2
The rates are per person, based on the room occupancy and include lodging for 3 nights, 8 meals, transportation to included activities (free time activities and transportation not included), registration fee and tax.
PLEASE SELECT APPLICABLE RATE:
$614.79 per adult staying 1 adult per room
$486.33 per adult staying 2 adults per room
TOTAL AMOUNT DUE FOR ROOMS:
(Disability, Diet, etc.)
(Roommates other than family, complete separate form.)
Number of Adults in Room:
I am paying for how many people:
My room is being paid for by:
If paying by check, please print this form and mail with your check.
Or Submit Credit Card Information Below:
CREDIT CARD TYPE
AMOUNT TO CHARGE:
NAME ON CARD
3 DIGIT SECURITY NUMBER
BILLING ADDRESS ZIP CODE:
I am authorized to make these credit card charges:
I Am Authorized
EPWORTH CANCELLATION POLICY
• Cancellations prior to April 19, 2019 will receive a full refund.
• Cancellations after April 19, 2019 will forfeit the registration fee of $225.00.
• Cancellations after April 29, 2019 will forfeit the first night's charge and registration fee.
• Cancellations after May 6, 2019 will forfeit the full charges per person.
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
FOR ADDITIONAL INFORMATION, PLEASE EMAIL 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.