subject_line
Women of Excellence
Housing Form for Epworth By The Sea
Friday, December 8 - Sunday, December 10, 2023
Your Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Roommate(s) Name:
Roommates other than family, complete separate form.
Arrival Date:
+
Departure Date: Date:
+
Room Rates are per person, based on the room occupancy and include lodging for
2 nights, 6 meals (Friday Supper through Sunday Lunch),
Georgia Motel fee and tax:
Please select from the following accommodations.
Turner Lodge
:
Single (1 adult per room): $389.82
Double (2 adults per room): $274.50 per person
Triple (3adults per room): $225.90 per person
EARLY ARRIVALS ON THURSDAY:
Meals Included
Turner Lodge
:
Single (1 adult per room): $194.91
Double (2 adults per room): $137.25 per person
Triple (3adults per room): $112.95 per person
COMMUTER FEE: $125.84 per person plus 6 meals
# of Commuter Tickets: $125.84 per person
Number of Adults in Room
*
I am paying for how many people?
*
My room is being paid for by:
*
Special Request (Diet, disability, etc):
FULL PAYMENT DUE WITH RESERVATION
Make check payable to: Epworth By The Sea
Check #:
Check Amount:
Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.
Name on Card
Credit Card Type
Visa
MasterCard
Discover
Amount To Charge:
CARD NUMBER:
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
Authorization:
I am authorized to make these credit card charges:
Today's Date:
+
Authorized Signature:
clear
EPWORTH CANCELLATION POLICY:
*Any individual cancellations made less than 20 days prior to arrival date will forfeit the first night’s rate.
*Any individual cancellations made 72 hours or less prior to arrival date will forfeit the entire per person charges.
Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Erica Bautista
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
contact Erica Bautista:
ebautista@epworthbythesea.org
or call 912-638-8688.
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
No phone reservations accepted. No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m. Sometimes great opportunities are missed when too many people wait until the last minute to register. We cancel undersubscribed events so please register early. We don't want to cancel what you want!!
This form is for Epworth By The Sea ONLY.
*PLEASE PRINT A COPY FOR RECORDS BEFORE SUMBITTING THIS FORM*