Amelia Island Quilt Guild
Epworth By The Sea • St. Simons Island, Georgia
Wednesday, October 2, 2024 - Sunday, October 6, 2024

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

Number Adults in Room: *

My room is being paid for by: *

I am paying for how many people?: *

Special Request (Diet, disability, etc):

Roommate Request: (Roommates other than family, complete separate form.)

Rates are per person based on the number of adults in each room, and include
1 night, table fee, meals, tax and state of Georgia motel fee.

PLEASE INCLUDE $100.00 DEPOSIT PER PERSON WITH YOUR RESERVATION IF YOU ARE STAYING ON PROPERTY.

PLEASE CHECK APPLICABLE RATES:

Turner Lodge

Single Occupancy: $201.70

Double Occupancy: $138.18 per person

Triple Occupancy: $112.70 per person

Quad Occupancy: $104.07 per person

Pitts/Booth Motel

Single Occupancy: $182.92

Double Occupancy: $129.96 per person

Triple Occupancy: $106.83 per person

Quad Occupancy: $99.37 per person

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COMMUTERS:
Anyone not staying on property pays table and commuter fee. Meals are optional.

Table Fee: $5.62
Commuter Fee: $5.62

Meals:
Breakfast: $12.36
Lunch: $20.22
Supper: $24.72

PLEASE INCLUDE FULL PAYMENT WITH YOUR RESERVATION.

Please check all meals tickets you would like to purchase.

Please 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.

**WE DO NOT ACCEPT AMERICAN EXPRESS CREDIT CARDS.**

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:
Any individual cancellation after September 16, 2024, will result in a forfeiture of $50 per person.
Any individual cancellation within 72 hours of arrival will forfeit first night's charges.

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.

Amelia Island Quilt Guild Epworth By The Sea • St. Simons Island, GeorgiaWednesday, October 2, 2024 - Sunday, October 6, 2024

Rates are per person based on the number of adults in each room, and include 1 night, table fee, meals, tax and state of Georgia motel fee. PLEASE INCLUDE $100.00 DEPOSIT PER PERSON WITH YOUR RESERVATION IF YOU ARE STAYING ON PROPERTY.

COMMUTERS: Anyone not staying on property pays table and commuter fee. Meals are optional. Table Fee: $5.62 Commuter Fee: $5.62 Meals: Breakfast: $12.36 Lunch: $20.22 Supper: $24.72 PLEASE INCLUDE FULL PAYMENT WITH YOUR RESERVATION.