United Women in Faith Spiritual Growth Retreat
Epworth By The Sea • St. Simons Island, Georgia
March 24 - 26, 2023

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

Roommate(s) Name:
Roommate other than family please complete separate form.
Roommate form MUST BE SUBMITTED ON THE SAME DAY as this form!

Check box if Roommate will pay separately:

Roommate pays separately

Number Adults in Room: *

My room is being paid for by: *

I am paying for how many people?: *

Special Request (Diet, disability, etc):

Rates are per person based on the number of adults in each room, and include
2 nights, 6 meals, tax, and state of Georgia motel fee.

PLEASE CHECK APPLICABLE RATES:

Turner Lodge

Single Per Person: $291.00

Double Per Person: $206.90

Triple Per Person: $175.02

Quad Per Person: $160.22

Pitts/Booth

Single Per Person: $291.00

Double Per Person: $206.90

Triple Per Person: $175.02

Quad Per Person: $160.22

Early Arrivals and Stayovers PER NIGHT Room Rate Only:

TURNER LODGE:

$202.71

PITTS / BOOTH:

$150.38

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Check #:

Check Amount:

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

Name on Card

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:
Full payment due with reservation by March 10, 2023.
Any cancellation after March 10, 2023, and prior to March 21, 2023,
will forfeit the first night's charge per person.
Any cancellation after March 21, 2023, will result in the forfeiture of the full charges per person.

Please submit this form online, or you may print & mail to:
Epworth By The Sea
Attn: Trice Roberts
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
please email Trice Roberts at troberts@epworthbythesea.org or call 912-638-8688.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

United Women in Faith Spiritual Growth Retreat Epworth By The Sea • St. Simons Island, GeorgiaMarch 24 - 26, 2023

Rates are per person based on the number of adults in each room, and include 2 nights, 6 meals, tax, and state of Georgia motel fee.

Early Arrivals and Stayovers PER NIGHT Room Rate Only:

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONMake check payable to Epworth By The Sea

Or Submit Credit Card Information Below:Online reservations must be paid for by credit card only. There is a 3% Credit Card Transaction Fee on payments over $1,000.

Epworth Cancellation Policy:Full payment due with reservation by March 10, 2023. Any cancellation after March 10, 2023, and prior to March 21, 2023, will forfeit the first night's charge per person. Any cancellation after March 21, 2023, will result in the forfeiture of the full charges per person.

**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**

United Women in Faith Spiritual Growth Retreat
Epworth By The Sea • St. Simons Island, Georgia
March 24 - 26, 2023

Rates are per person based on the number of adults in each room, and include
2 nights, 6 meals, tax, and state of Georgia motel fee.

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.