CLM Staff/Leadership Network and ACDLSM Annual Convocation
Housing Form for Epworth By The Sea
February 13 - 17, 2018 • Epworth By The Sea
Your Name
Address
City
State     Zip Code    
Phone       Email    
RATES ARE PER PERSON, PER NIGHT,, BASED ON THE NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER, AND INCLUDE MEALS, BEGINNING WITH SUPPER ON ARRIVAL AND GO THROUGH LUNCH ON DAY OF DEPARTURE. TAXES ARE INCLUDED. PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:
  BUILDING: 1 ADULT PER ROOM 2 ADULTS PER ROOM
  TURNER LODGE:   $150.04   $101.67 EACH
Special Request (Disability, etc.)  
Roommate Request:
Roommates other than family, complete separate form if paying separate.
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
Arrival Date:     Departure Date:
If you wish to stay on dates before your conference or stay over after your conference please  put the arrival date or departure date on the form.  We will contact you with availability and the rate.
Full Payment is Due with Reservation. If paying by check please print and mail with check.
Confirmation numbers will be sent once payment is received. Deadline for reservations online is January 13, 2018.
Cancellations after this date will forfeit $40.00 per person.
Cancellations within 72 hours of arrival will result in forfeiture of entire per 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
Online reservations must be paid for by credit card only
**All rooms are non-smoking, reservations not accepted by phone but may be mailed, faxed,
or emailed to the information below
Epworth By The Sea
Attn: Lori Strande
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to lstrande@epworthbythesea.org.
No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m.
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
This form is for Epworth By The Sea ONLY.