JANUARY ADVENTURE 2009                 EPWORTH ROOM AND BOARD FORM

Print this form, fill it out and mail it to:   Epworth by the Sea, PO box 20407, St. Simons Island, GA 31522

Check one of the following:   (   ) Session 1, Friday – Sunday, January 16-18     

(   ) Session 2, Monday – Wednesday, January 19-21

Note your choice of Session with dates on your calendar, lest you forget. 

Name: ________________________________________________________________________

Name: ________________________________________________________________________

Address: ______________________________________________________________________

City: ______________________________ State: _______ Zip: ___________________________

Phone No. ______________________________________

 The following rates are per room for 2 nights and include 6 meals per person.

Circle your room choice below.

D. Abbott Turner Lodge                                                            Robertson Inn

$244.86 for one person in the room                            217.60 for one person in the room

$335.24 for two persons in the room                          294.32 for two persons in the room

Pitts and Booth                                                                        Reynolds

            $194.88 for one person in the room                           181.26 for one person in the room

            $262.52 for two persons in the room                          244.36 for two persons in the room

My check  No. __________ made payable to Epworth by the Sea for my choice of accommodations is enclosed,

or  I authorize Epworth to charge my

                                           (Circle one)     MC  /  VISA   Card, No. _________________________________

Date of expiration _____________                       Signature: ________________________________________

US  mail to: Epworth by the Sea, PO Box 20407, St. Simons Island, GA 31522

Cancellations by Jan. 1 – full refund,  by Jan. 10 – 20% forfeiture,   after Jan. 10 forfeit first night.