Region 8 International Conference of Police Chaplains
March 19 - 22, 2018 • Epworth By The Sea
Your Name
Address
City
State     Zip Code    
Phone       Email    
Rates are per person, based on the number of adults staying in the room together and include lodging for 3 nights, Monday supper through Thursday lunch, taxes and fees.
FULL INDIVIDUAL PAYMENT DUE WITH RESERVATION, DUE FEBRUARY 19, 2018.

Please check your choice:
BUILDING:
1 ADULT PER ROOM
2 ADULTS PER ROOM
  PITTS/BOOTH:   $421.53 per adult staying 1 per room   $287.82 per adult staying 2 per room
  ROBERTSON INN:   $453.57 per adult staying 1 per room   $308.46 per adult staying 2 per room
  TURNER LODGE:   $487.98 per adult staying 1 per room   $335.97 per adult staying 2 per room
Arrival Date           Departure Date    
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
Special Request (Disability, etc.)  
Roommate Name  
Submit form with full payment to: Epworth By The Sea.
Check #:   Amount: $
Charge to:   Visa      MasterCard     Discover    Amount to Charge: $
Name on Card:       
Card Number:        Expiration Date:
3 Digit Security Code:     Zip Code of Billing Address:
 Check here to affirm that I am authorized to make these credit card charges
Cancellation policy: Any individual cancellation after February 19, 2018 will result in forfeiture of $40 minimum per person.
Any individual cancellation after March 5, 2018 will result in forfeiture of the first night's charge.
Any individual cancellation within 72 hours of arrival will result in forfeiture of the full charges per person.
Please submit this form online, or you may 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
Email:tflavell@epworthbythesea.org
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED TO YOU *
No phone reservations accepted. No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m. Sometimes great opportunities are missed when too many people wait until the last minute to register. We cancel undersubscribed events so please register early. We don't want to cancel what you want!!

This form is for Epworth By The Sea ONLY.