"January Adventure 2018"
January 12 - 14, 2018


MEALS ONLY FORM FOR EPWORTH BY THE SEA
Your Name  
Address 
City  
State      Zip Code    
Phone         Email    

Meals Only: (Staying Off Campus)
Friday Supper, Saturday Lunch, Saturday Supper and Sunday Lunch
How many meal packages @  $67.38 per person:
Special Dietary Request      
PLEASE SEND TOTAL PAYMENT
Make check payable to Epworth By The Sea.
Check #    Amount: $   
OR
Charge to:    Visa      MasterCard       Discover      Amount to Charge: $
Card Number:        Expiration Date:
3 Digit Security Code:     Zip Code of Billing Address:
Name on Card:       
 Check here to affirm that I am authorized to make these credit card charges
Epworth Cancellation Policy:
Any cancellations received by January 4, 2017 will receive a full refund.
Any cancellations after January 4, 2017 will forfeit the full charges.
Please submit this form online, print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
ATTN: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
No phone reservations accepted. No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m.
* CONFIRMATION OF YOUR RESERVATION WILL BE SENT TO YOU *
This form is for Epworth By The Sea ONLY.