SEJ Cabinet Consultation 2018
January 23 - 26, 2018


HOUSING FORM FOR EPWORTH BY THE SEA
Your Name       Male   Female
Name of Spouse 
Address 
City  
State      Zip Code    
Roommate if other than spouse 
Phone         Email    
Position / Title 
Annual Conference 

Lodging Options: Please check applicable rate
BUILDING
1 ADULT PER ROOM
2 ADULTS PER ROOM
PITTS
  $521.01 Per adult staying 1 per room   $359.04 Per adult staying 2 per room
ROBERTSON INN
  $555.42 Per adult staying 1 per room   $383.10 Per adult staying 2 per room
TURNER LODGE
  $600.12 Per adult staying 1 per room   $417.48 Per adult staying 2 per room
BANQUET ENTREE SELECTION:
Beef:     Chicken:     Vegetarian:
Rates are per person, based on the number of adults staying in the room together and include lodging for 3 nights, 7 meals including Thursday banquet, program fees and taxes.

Full payment due with individual reservation is due: January 2, 2018
Epworth Cancellation Policy: Any individual cancellation after January 2, 2018
will result in a forfeiture of 1st night's charges and program fee.
Any cancellation within 72 hours of arrival will result in forfeiture of entire person charge
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
 I am registering for CEU credit
Please submit this form online, print to Tiffany Flavell & 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.