Georgia Occupational Therapy Association
October 15-18, 2020
Epworth By The Sea
Address Line 2
Rates are Per Room/Per Night and include lodging,
tax and the State of Georgia Motel Fee.
The following meals will be sponsored by GOTA for attendees only:
Saturday Breakfast, Saturday Lunch, Saturday Supper and Sunday Breakfast.
Cafeteria Style Meals are available for purchase at the Front Desk
for attendees’ family members.
Breakfast: $9.92 Lunch: $13.79 Supper: $15.99 (tax and gratuity included)
View accommodations at www.EpworthByTheSea.org.
Participants pay lodging only.
Please check applicable rate for single/double occupancy:
$5.76 (each additional guest 13 and up)
Guest Rooms have two queen beds.
Kings available upon request and subject to availability.
Turner Lodge: $157.10
Robertson Inn: $138.64
Special Request (Diet, disability, sleeping accommodations, etc):
Roommate other than family, please complete separate form.
Departure Date: Date:
Number of Adults in Room:
Number of Children/Teens in Room:
I am paying for how many people?
My room is being paid for by:
First night’s rate is required as a deposit and the balance due must be paid upon check-in.
Or Submit Credit Card Information Below:
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:
Full refund prior to September 29, 2020.
After September 29, 2020, any individual cancellation will result in
forfeiture of first night’s lodging per person.
Cancellations within 72 hours of arrival will forfeit full charges.
Please submit this form online, or you may print & FAX to 912-634-0642, or 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 Stephanie Sims:
firstname.lastname@example.org or 912-268-4835
* 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*