"Autumn Adventures"

September 18 - 21, 2017 • Epworth By The Sea
Brochure
Registration begins at 4:00pm Monday. The event begins with dinner at 5:30pm and concludes with Thursday breakfast.
Your Name     Male   Female
Name(s) For Name Tag
Address
City
State     Zip Code    
Phone       Email    
Rates are per person, based on the number of adults staying in the room together, and include 3 nights' lodging in Pitts/Booth motel, 8 meals, all activities, tax and State of Georgia Motel Fee.
View accommodations online at www.epworthbythesea.org.
Please check applicable rate:
PITTS/BOOTH:
  $596.01 per adult staying 1 adult per room
  $471.54 per adult staying 2 adults per room     TOTAL: $
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:
Indicate group name if you are part of a group.
(Please mail all forms together)
Arrival Date Departure Date
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
Make check payable to Epworth By The Sea.
Check #    Amount: $   
OR
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:
Full refund prior to August 18, 2017. Cancellations 1 month prior to event forfeit registration fee.
Cancellations 1 month prior to event forfeit registration fee. Cancellations within 2 weeks of event forfeit registration fee and first night's lodging and meals.
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.