Hinesville Alumnae Chapter of Delta Sigma Theta
Housing Registration Form
Friday, August 18, 2023 - Sunday, August 20, 2023
Epworth By The Sea • St. Simons Island, Georgia
Address Line 2
Rates listed below are per person based on the number of adults staying in the room together, and include lodging, meals, state of Georgia motel fee and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:
Lodging for 2 nights and 5 meals
Friday Supper - Sunday Breakfast
Single (1 adult per room): $399.20
Double (2 adults per room): $281.54 per person
Triple (3 adults per room): $228.24 per person
Quad (4 adults per room): $208.64 per person
Lodging for 1 night and 3 meals
Friday Supper - Saturday Lunch
Single (1 adult per room): $199.60
Double (2 adults per room): $140.77 per person
Triple (3 adults per room): $114.12 per person
Quad (4 adults per room): $104.32 per person
Number Adults in Room:
I am paying for how many adults?
My room is being paid for by:
Departure Date: Date:
Special Request (Diet, disability, etc):
Full payment due with individual reservation by July 18, 2023.
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea
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:
Amount To Charge:
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
EPWORTH CANCELLATION POLICY:
Any individual cancellation after August 4, 2023 will forfeit one night's lodging per person.
Any individual cancellation after August 11, 2023 will forfeit the full charges per person.
Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
contact Tiffany Flavell:
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 OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*