subject_line
Todd Johnson Family Reunion
Friday, June 21 - Sunday, June 23, 2024
Epworth By The Sea
First Name
*
Last 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
*
Rates are Per Person and include lodging,
5 meals, banquet, tax, gratuity and the State of Georgia Motel Fee.
Turner Lodge
Single: $427.75
Double: $298.37 per person
Tiple: $242.73 per person
Quad: $220.77 per person
Robertson Inn
Single: $404.29
Double: $277.25 per person
Triple: $226.29 per person
Quad: $209.03 per person
Number of Adults in Room
*
Number of Children in Room with an Adult
(Child Ages 3-12) $69.43 each:
Number of Teens in Room with an Adult
(Teen Ages 13-17) $138.47 each:
Roommate Request:
Roommate other than family, please complete separate form.
Special Request (Diet, disability, sleeping accommodations, etc):
Arrival Date:
+
Departure Date: Date:
+
I am paying for how many people?
*
My room is being paid for by:
*
COMMUTER INFORMATION:
(NOT STAYING ON CAMPUS)
$11.25 per person (age 13 and up) per day (includes tax) plus meals.
Meal Prices with Tax and Gratuity:
Breakfast: $12.36
Lunch: $20.22
Supper: $24.72
Saturday Banquet: $42.93
# of Adults needing meal tickets
# of Children (ages 3-12) needing meal tickets (half price meals)
# of Teens (ages 13-17) needing meal tickets
Please check all meals your family needs a meal ticket for:
COMMUTERS ONLY
Friday Supper
Saturday Breakfast
Saturday Lunch
Saturday Banquet
Sunday Breakfast
Sunday Lunch
# of Adults commuting
# of Children (ages 3-12) commuting
# of Teens (ages 13-17) commuting
***$100.00 REQUIRED AS A DEPOSIT AND
THE BALANCE DUE MUST BE PAID UPON CHECK-IN.***
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.
**WE
DO NOT
ACCEPT AMERICAN EXPRESS CREDIT CARDS.**
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:
Date
+
Authorized Signature
clear
EPWORTH CANCELLATION POLICY:
After Friday, June 7, 2024, any individual cancellation will result
in forfeiture of $100 deposit.
Cancellations within 72 hours of arrival will forfeit first night's charges.
Please submit this form online or you may print and mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations, contact Trice Roberts:
troberts@epworthbythesea.org or 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 YOUR RECORDS BEFORE SUBMITTING THIS FORM*