JANUARY ADVENTURE 2010                 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 15-17     

  (   ) Session 2, Monday – Wednesday, January 18-20

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

$251.60 for one person in the room                            $224.32 for one person in the room

$339.60 for two persons in the room                          $298.68 for two persons in the room

Pitts and Booth                                                                        Reynolds

            $201.60 for one person in the room                           $187.98 for one person in the room

            $266.88 for two persons in the room                          $248.72 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.