"Springtime By The Sea"
May 18 - 21, 2020
Housing Form for Epworth By The Sea
Registration opens at 4:00pm Monday.
The event begins with dinner at 5:30pm and concludes with Thursday breakfast.
Please Check One:
Name(s) for Name Tag:
Address Line 2
(Roommates other than family, complete separate form.)
Indicate Group Name if you are part of a group:
(Please mail all forms together.)
Registration includes 3 nights’ lodging in Pitts/Booth motel, 8 meals, transportation to included activities (free time activities and transportation not included),
tax and State of Georgia Motel Fee.
View accommodations and agenda online at
PLEASE SELECT APPLICABLE RATE:
$632.07 per adult staying 1 adult per room
$489.78 per adult staying 2 adults per room
TOTAL AMOUNT DUE FOR ROOMS:
*Amelia Island Museum of History Luncheon:
Menus are listed with schedule. Please select your menu choice
and indicate how many of the Option selected:
Menu Option 1:
Menu Option 2:
Menu Option 3:
(Disability, Diet, etc.)
Number of Adults in Room:
I am paying for how many people:
My room is being paid for by:
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS
MAKE CHECK PAYABLE TO EPWORTH BY THE SEA
Or Submit Credit Card Information Below:
CREDIT CARD TYPE
AMOUNT TO CHARGE:
NAME ON CARD
3 DIGIT SECURITY NUMBER
BILLING ADDRESS ZIP CODE:
I am authorized to make these credit card charges:
How did you hear about this event?
EPWORTH CANCELLATION POLICY
• Full refund prior to April 20, 2020.
• Cancellations 1 month prior to event forfeit the registration fee.
• Cancellations after May 4, 2020 forfeit registration fee and first night's lodging and meals.
• Cancellations after May 11, 2020 will forfeit full charge per person.
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
* 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.
This form is for Epworth By The Sea ONLY.