EPWORTH BY THE SEA
Stonecroft Leadership Retreat
August 27 - 29, 2018
A SECURED PAGE FOR EPWORTH BY THE SEA
Your Name
Address
City
State     Zip Code    
Phone       Email    
Rates are per person based on number of adults in room and include 2 nights lodging, 6 meals, tax, gratuity, and Georgia motel fee and a meeting room.
View Accommodations at epworthbythesea.org/accommodations
Please check applicable rate:
LODGING
SINGLE
OCCUPANCY
DOUBLE
OCCUPANCY
ROBERTSON INN
$301.44
$201.96 EACH
Roommate Request:
Roommates other than family, complete separate form.
Special Request       (Disability, diet, etc.)
Arrival Date Departure Date
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
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:
Individual cancellations after August 13, 2018 will result in a forfeiture of $40.00 per person. Individual cancellations within 72 hours of arrival will result in forfeiture of the entire person charge.
Please submit this form online, print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
For more information please email rlewis@epworthbythesea.org
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.