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SEJ CABINET CONSULTATION
Theme - Holy Spirit Revival: Imagining the Future
Monday, January 13, 2025 - Thursday, January 16, 2025
Housing Form for Epworth By The Sea
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
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
*
Episcopal Area:
*
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:
TURNER LODGE
$770.18 per adult staying 1 adult per room
$579.62 per adult staying 2 adults per room
ROBERTSON INN
$738.50 per adult staying 1 adult per room
$547.94 per adult staying 2 adults per room
PITTS/BOOTH
$671.63 per adult staying 1 adult per room
$519.77 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.
Cooperative Parish
*
Tuesday, 3:15pm-4:15pm
Wednesday, 11:00am-12:00pm
Wednesday, 2:00pm-3:00pm
Scriptural Literacy
*
Tuesday, 3:15pm-4:15pm
Wednesday, 11:00am-12:00pm
Wednesday, 2:00pm-3:00pm
Evangelism: New tools for reaching out to churches and communities
*
Tuesday, 3:15pm-4:15pm
Wednesday, 11:00am-12:00pm
Wednesday, 2:00pm-3:00pm
FULL PAYMENT IS DUE WITH RESERVATION.
Number of Adults in Room:
*
My room is being paid for by:
*
Number of Nights
*
Arrival Date:
*
+
Departure Date:
*
+
Special Request
(Disability, Diet, etc.)
Roommate Request
(Roommates other than family, complete separate form.)
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?
*
Epworth Cancellation Policy:
Any cancellations after December 13, 2024 will forfeit $140.00 per person.
Any cancellations after December 30, 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.**