Northeast Florida District United Methodist Women
Spiritual Enrichment Experience
Epworth By The Sea • St. Simons Island, Georgia
March 11 - 13, 2022

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

Roommate(s) Name:
Roommate other than family please complete separate form.
Roommate form MUST BE SUBMITTED ON THE SAME DAY as this form!

Check box if Roommate will pay separately:

Roommate pays separately

Number Adults in Room:

My room is being paid for by:

Special Request (Diet, disability, etc):

Rates are based on the number of adults staying in room, & include 2 nights, 6 meals, tax, & state of Georgia motel fee.

View Accommodations

PLEASE CHECK APPLICABLE RATES:

Turner Lodge

Single Per Person: $341.14

Double Per Person: $226.82

Triple Per Person: $178.64

Quad Per Person: $159.20

Robertson Inn

Single Per Person: $308.58

Double Per Person: $201.24

Triple Per Person: $164.68

Quad Per Person: $152.22

Pitts / Booth

Single Per Person: $285.32

Double Per Person: $182.62

Triple Per Person: $148.40

Quad Per Person: $135.94

BUNK BED STYLE CABINS $117.98 PER PERSON:
(YOU MUST PROVIDE YOUR OWN SHEETS, PILLOW, BLANKET, TOWELS)
No. ADULTS:

COMMUTERS
Pay $15.00 per person plus meals.

No. ADULTS paying:

Friday Supper

$17.26 per person

Saturday Breakfast

$10.02 per person

Saturday Lunch

$15.03 per person

Saturday Supper

$17.26 per person

Sunday Breakfast

$10.02 per person

Sunday Lunch

$15.03 per person

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Check #:

Check Amount:

Or Submit Credit Card Information Below:

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 February 25, 2022 will result in a forfeiture of $40.00 per person.
Any individual cancellation after March 4, 2022 and up to March 9, 2022 will forfeit the first night's charge per person.
Any individual cancellation after March 9, 2022 will result in forfeiture of entire per person charge.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Stephanie Sims
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
please email ssims@epworthbythesea.org 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 THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Northeast Florida District United Methodist Women Spiritual Enrichment Experience Epworth By The Sea • St. Simons Island, GeorgiaMarch 11 - 13, 2022

Rates are based on the number of adults staying in room, & include 2 nights, 6 meals, tax, & state of Georgia motel fee.

**COMMUTERS**Pay $15.00 per person plus meals.

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONMake check payable to Epworth By The Sea