EPWORTH BY THE SEA The Evelyn Laycock Bible Study Series
EPWORTH BY THE SEA
October 9 - 12, 2017 • Epworth By The Sea
Click for Brochure
Registration begins Monday at 4:00 p.m. The event begins with dinner at 5:30 p.m. on Monday
and concludes Thursday morning after breakfast.

Your Name     Male   Female
Name(s) for nametags:
Address
City
State     Zip Code    
Phone       Email    
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)
Registration includes 3 nights' lodging in Pitts/Booth motel, 8 meals,
registration fee, tax and Georgia State Motel Fee.
View accommodations and detailed agenda online at www.epworthbythesea.org.
    Please check applicable rate:
    PITTS/BOOTH:
      $350.90 per adult staying 2 adults per room  
      $461.60 per adult staying 1 adult per room   TOTAL: $
    ROBERTSON INN (Limited Availability):
      $374.96 per adult staying 2 adults per room  
      $496.01 per adult staying 1 adult per room   TOTAL: $
Special Request       (Disability, diet, etc.)
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:
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:
Full refund prior to September 18, 2017.
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 Benson
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.