Georgia Sheriffs Association Chaplains Conference
Tuesday, March 12, 2024 - Friday, March 15, 2024
Housing Form for Epworth By The Sea

First Name *

Last Name *

Department/Organization

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Rates are per person, per night based on the number of adults staying in the room together, and include lodging for 1 night, 3 meals, gratuity and a portion of meeting space.

Tax Exempt Rates. Payment must be made with a state of Georgia check or credit card.

Please provide Georgia Sales tax exemption and hotel tax exemption forms with reservation.

Turner Lodge
TAX EXEMPT

Single Occupancy: $184.30

Double Occupancy: $127.45 each

Turner Lodge
WITH TAX

Single Occupancy: $203.12

Double Occupancy: $139.60 each

Pitts/Booth
TAX EXEMPT

Single Occupancy: $155.15

Double Occupancy: $109.60 each

Pitts/Booth
WITH TAX

Single Occupancy: $170.26

Double Occupancy: $119.65 each

*Spouse: If spouse is attending, attendee will be charged the single rate and the spouse will be $57.30 additional per day including meals, tax and gratuity.

Spouse's Name:

Early Arrivals/Stayovers:
20% off Individual Rate with no meals. Meals will start Tue supper.

Turner Lodge

With Tax: $169.29

Without Tax: $152.00

Pitts/Booth

With Tax: $127.04

Without Tax: $114.20

Without tax - only if Georgia government agency pays charges

Early arrivals / Stayover dates:

Arrival Dates: +

Departure Date +

Conference Dates:

Checkin: +

Checkout: +

Single attendee only

Single attendee plus spouse

Sharing a Double room with another conference attendee

Sharer's name:

Agency/Organization Contact Information

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Agency/Organization is responsible for payment

Agency/Organization is responsible for conference dates only

Agency/Organization is responsible for early arrival/stay over conference dates

Spouse - Responsible Party:

Responsible party early arrivals/stayovers:

Pay by Check

Check #:

Check Amount:

Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.

Credit Cards must be issued by the State of Georgia. State issued credit cards are tax exempt. Sales tax and hotel/motel tax exemption forms must accompany this form. Associations, booster clubs and personal methods of payments are not tax exempt.

Name on Card

Company Name

Amount To Charge:

Credit Card Type

*Attendee may pay their spouse additional night fees upon arrival

CARD NUMBER:

Expiration Date (mm/yy)

3 Digit Security Code:

Billing Street Address

Billing Address Line 2

Billing City

Billing State

Billing Zip Code

Billing Phone Number

Billing Fax Number

AUTHORIZED USER OF CREDIT CARD

First Name

Last Name

Company

Phone Number

Email Address

Identification

Relation to Owner

Type of Charges

Authorized Amount

Dates of Charges

AUTHORIZATION OF CARD USE
- I certify that I am the authorized holder and signer of the credit card referenced above.
- I certify that all information above is complete and accurate.
- I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “AUTHORIZED AMOUNT” field. I understand this is only for up to this amount during the time period of “DATES OF CHARGES” referenced above. If additional charges are going to be authorized a new form will have to be completed.

Cardholder Name

Signature

clear

Date

Tax Forms Upload

Tax forms included

Epworth Cancellation Policy:
Any individual cancellation prior to 30 days of the group's arrival date will receive a full refund.
Any individual cancellation within 30 days of the group's arrival date will forfeit the first night's charge per person.
Any individual cancellation within 2 weeks of the group's arrival date will forfeit the full charges per person.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Renthia Lewis
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations, contact
Renthia Lewis at rlewis@epworthbythesea.org.

* 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 YOUR RECORDS BEFORE SUBMITTING THIS FORM
You will receive a confirmation once reservation is processed.

Georgia Sheriffs Association Chaplains Conference Tuesday, March 12, 2024 - Friday, March 15, 2024Housing Form for Epworth By The Sea

Early Arrivals/Stayovers: 20% off Individual Rate with no meals. Meals will start Tue supper.