|Registration begins at 4:00pm Monday.
The event begins with dinner at 5:30pm and concludes with Thursday breakfast.|
| Your Name ||
| Name(s) For Name Tag ||
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:
| $596.01 per adult staying 1 adult per room
| $471.54 per adult staying 2 adults per room
|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)
Departure Date |
|PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS. |
Make check payable to Epworth By The Sea. |
Check # Amount: $
Discover Amount to Charge: $
Expiration Date: |
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:
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.