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"January Adventure 2019 - Our 15th Year"
January 18 - 20, 2019


Please register for this program FIRST at januaryadventure.regfox.com/january-adventure-2019.
After acceptance, click on housing form.

Commuter Meals Only Form
Your Name       Male   Female
Address 
City  
State      Zip Code    
Phone         Email    
Church Group Name  
Four different Meal Plans are offered for Commuters staying Off Campus;
Please check applicable rate below:
THURSDAY - SUNDAY
$85.98 per person
Thursday Supper, Friday Lunch, Friday Supper, Saturday Lunch, Saturday Supper, Sunday Lunch
# PEOPLE
@ $85.98/EACH:
TOTAL DUE
$
THURSDAY - MONDAY
$114.64 per person
Thursday Supper, Friday Lunch, Friday Supper, Saturday Lunch, Saturday Supper, Sunday Lunch, Sunday Supper, Monday Lunch
# PEOPLE @ $114.64/EACH:
TOTAL DUE
$
FRIDAY - SUNDAY
$57.32 per person
Friday Supper, Saturday Lunch, Saturday Supper, Sunday Lunch
# PEOPLE @ $57.32/EACH:
TOTAL DUE
$
FRIDAY - MONDAY
$85.98 per person
Friday supper, Saturday Lunch, Saturday Supper, Sunday Lunch, Sunday Supper and Monday lunch
# PEOPLE
@ $85.98/EACH:
TOTAL DUE
$
Special Request       (Diet, etc.)
Arrival Date:    Departure Date:
I am paying for how many people?
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:
Name on Card:       
Billing Zip Code:     Security Code:
 Check here to affirm that I am authorized to make these credit card charges
Epworth Cancellation Policy:
Full refund prior to December 17, 2018.
Any cancellations after December 17, 2018 will forfeit first night's charge.
Cancellations after January 4, 2019 will forfeit the full charges per person.
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
Please email any questions to tflavell@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.