JANUARY ADVENTURE - EPWORTH - MEALS ONLY REGISTRATION FORM      Back to Participate Page

Name (1)___________________________________________

Name (2)___________________________________________

Name (3)___________________________________________

Name (4)___________________________________________

Circle session desired      Session I Jan 18-20          Session II Jan 21-23

Prices: 2 Breakfasts, 2 Lunches, 2 Dinners  $60.84/person  times  # of persons above  = _______

    or      just  2 Lunches & 2 Dinners            $45.62/person  times  # of persons above  = _______

Check #___  or  circle one   Mastercard   Visa  account #________________________________

Signature for credit card___________________________________________

Please mail meal request forms and payment directly to Epworth

                                     EPWORTH BY THE SEA

                                     January Adventure Meals Request 

                                     P.O. Box  20407

                                     St. Simons Island, Ga 31522