EPWORTH BY THE SEA
Southeastern Writers Association Registration Form A SECURED PAGE FOR EPWORTH BY THE SEA
June 8 - 13, 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 5 NIGHTS, 14 MEALS, AND TAXES.
ANY CANCELLATIONS AFTER MAY 4, 2018 WILL FORFEIT $40.00 PER PERSON.
ANY CANCELLATIONS AFTER MAY 18, 2018 WILL FORFEIT THE FIRST NIGHT'S CHARGE PER PERSON. ANY CANCELLATIONS AFTER JUNE 1, 2018 WILL FORFEIT THE FULL CHARGES
PER PERSON. MEAL PLAN: FRIDAY SUPPER - WEDNESDAY BREAKFAST
Deadline for reservations: Full payment due with individual reservation by MAY 4, 2018
  BUILDING
1 ADULT PER ROOM
2 ADULTS PER ROOM
  PITTS/BOOTH   $719.05   $487.65 - PER PERSON
  ROBERTSON INN       $770.90   $522.20 - PER PERSON
  TURNER LODGE       $828.50   $568.30 - PER PERSON
Arrival Date           Departure Date    
Special Request (Disability, etc.)  
Roommate request:    
Roommates other than family, complete separate form
Make check payable 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:
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
 Check here to affirm that I am authorized to make these credit card charges
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Email any questions to: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.