United Methodist Men
Housing Registration Form • Epworth By The Sea

A SECURED PAGE FOR EPWORTH BY THE SEA
April 21 - 22, 2017
  Name:
  Address     City
  State     Zip Code   Phone
  Email:
  Roommate:
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
  Special Request: :
Rates are PER PERSON, based on the number of adults staying in the room together,
and include lodging for 1 night and 3 meals.
Full payment is due with reservation, no later than March 31, 2017.
Make checks payable to Epworth By The Sea. Please check applicable rates.
BUILDING:
1 ADULT PER ROOM
2 ADULTS PER ROOM
  PITTS/BOOTH:   $111.12 one person rate   $74.63 per adult staying 2 per room
  ROBERTSON INN:   $122.59 one person rate   $82.58 per adult staying 2 per room
  TURNER LODGE:   $132.81 one person rate   $92.81 per adult staying 2 per room
  Check #    Amount Enclosed  $   
  Charge to:   Visa      MasterCard      Discover    Amount to Charge:  $
  Card Number:        Expiration Date:
  Name on Card:       
 Check here to affirm that I am authorized to make these credit card charges
Epworth Cancellation Policy:
Deposit nonrefundable, but transferable to another group booking for up to one year if notice of cancellation of entire group is given at least two months prior to arrival date.
• ANY INDIVIDUAL CANCELLATION AFTER MARCH 31, 2017 will result in a forfeiture of $20.00 PER PERSON.
• ANY INDIVIDUAL CANCELLATION WITHIN 72 HOURS OF ARRIVAL will result in a forfeiture of
ENTIRE PER PERSON CHARGE.  
*Confirmation of your reservation will be 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!!
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
Attention: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
Email:tflavell@epworthbythesea.org
This form is for Epworth By The Sea ONLY.