CHARLESTON DISTRICT UMW
MARCH 11-12, 2017
NAME______ROOMMATE (S) NAME______
ADDRESS______CITY______STATE______ZIP______
e-MAIL ADDRESS:______
DAYTIME PHONE______NO. OF PARTICIPANTS IN ROOM______
(ROOMMATES – PLEASE COMPLETE SEPARATE FORMS)
ARRIVAL DATE______DEPARTURE DATE______
SPECIAL REQUEST______
FULL PAYMENT REQUIRED: PLEASE SCAN AND EMAIL, MAIL OR FAX COMPLETED FORM WITH FULL PAYMENT
(FAX MUST HAVE CREDIT CARD # FOR PAYMENT) NO LATER THAN FEBRUARY 17, 2017. RESERVATIONS WILL NOT BE ACCEPTED BY TELEPHONE. MAKE CHECKS PAYABLE TO EPWORTH BY THE SEA (PREFERRED PAYMENT METHOD) OR CHARGE TO MASTER CARD/VISA.
CREDIT CARD #______EXP. DATE______
ALL CONFERENCE PARTICIPANTS AND THEIR GUESTS STAYING AT EPWORTH WILL BE REQUIRED TO HAVE THE MEAL PLAN. NO CREDIT WILL BE GIVEN FOR MISSED MEALS. CONFERENCE PARTICIPANTS AND GUESTS WILL HAVE A NAME TAG TO IDENTIFY THEM FOR THE MEAL PLAN.
· RATES LISTED BELOW ARE BASED ON TOTAL NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER.
· CHILDREN/TEENS ARE CHARGED AS LISTED WHEN STAYING WITH AN ADULT.
· RATES ARE PER PERSON INCLUDING 1 NIGHT’S LODGING, 3 MEALS (SATURDAY SUPPER-SUNDAY LUNCH), AND APPLICABLE TAXES. PLEASE PUT AN “X” NEXT TO YOUR LODGING SELECTION:
ROBERTSON INN (RATES BASED ON NUMBER OF ADULTS PER ROOM)
______$133.95 PER PERSON STAYING 1 ADULT PER ROOM.
______$89.40 PER PERSON STAYING 2 ADULTS PER ROOM.
______$76.07 PER PERSON STAYING 3 ADULTS PER ROOM.
______$73.38 PER PERSON STAYING 4 ADULTS PER ROOM.
TURNER LODGE (BASED ON NUMBER OF ADULTS PER ROOM)
______$148.72 PER PERSON STAYING 1 ADULT PER ROOM.
______$100.76 PER PERSON STAYING 2 ADULTS PER ROOM.
______$85.16 PER PERSON STAYING 3 ADULTS PER ROOM.
______$76.78 PER PERSON STAYING 4 ADULTS PER ROOM.
______CHILD: 3-12 YEARS OLD - $19.02 PER CHILD (STAYING IN ROOM WITH ADULT)
______TEEN: 13-17 YEAR OLD - $43.71 PER TEEN (STAYING IN ROOM WITH ADULT)
CANCELLATION POLICY: IF YOU CANCEL RESERVATION ON OR BEFORE 4PM FEBRUARY 17, 2017, A FULL REFUND WILL BE ISSUED. ANY CANCELLATION MADE AFTER THIS DATE, WILL FORFEIT $40.00 PER PERSON. ANY CANCELLATIONS MADE AFTER FEBRUARY 24, 2017 WILL FORFEIT THE FULL CHARGE PER PERSON.
CHECK IN 4PM/CHECK OUT 11:30 AM – FAX (912) 634-0642/TELEPHONE (912) 638-8688
MAIL FORM TO: P.O. BOX 20407, ST. SIMONS ISLAND, GA 31522 OR e-MAIL TO: