Southeastern Writers Association
Friday, June 7, 2024 - Tuesday, June 11, 2024
Housing Form for Epworth By The Sea

First Name *

Last Name *

Please Check One:

Male

Female

Name(s) for Name Tag:

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

The rates below are per person, based on the room occupancy
and include lodging for 4 nights, 11 meals, taxes and Georgia Motel Fee.

Robertson Inn:

Single: $784.32 per person staying 1 adult per room

Double: $530.24 per person staying 2 adults per room

Triple: $428.32 per person staying 3 adults per room

Quad: $393.80 per person staying 4 adults per room

TOTAL AMOUNT DUE FOR ROOMS: *

Special Request
(Disability, Diet, etc.)

Roommate Request
(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: *

Arrival Date: * +

Departure Date: * +

How did you hear about this event? *

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS
MAKE CHECK PAYABLE TO EPWORTH BY THE SEA
If paying by check, please print this form and mail with your check.

CHECK NUMBER:

CHECK AMOUNT:

Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.

*We DO NOT accept American Express.

NAME ON CARD

CARD NUMBER:

EXP. DATE

3 DIGIT SECURITY NUMBER

CARD TYPE

AMOUNT TO CHARGE:

BILLING ADDRESS ZIP CODE:

Authorization:

I Am Authorized to make these Credit Card charges

Today's Date: +

Authorized Signature

clear

Epworth Cancellation Policy:
Any individual cancellation within 30 days of arrival date will forfeit your per person deposit.
Any individual cancellation within 14 days of arrival date will forfeit the first night’s rate.
Any individual cancellation within 7 days of arrival date will forfeit the entire per person charges.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
Reservations must be made online.
For any additional information regarding accommodations, contact Tiffany Flavell:
tflavell@epworthbythesea.org or 912-638-8688

* 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.

PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Southeastern Writers Association Friday, June 7, 2024 - Tuesday, June 11, 2024Housing Form for Epworth By The Sea

The rates below are per person, based on the room occupancyand include lodging for 4 nights, 11 meals, taxes and Georgia Motel Fee.

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONSMAKE CHECK PAYABLE TO EPWORTH BY THE SEA If paying by check, please print this form and mail with your check.

Or Submit Credit Card Information Below: There is a 3% Credit Card Transaction Fee on payments over $1,000.