Clergy Spouses Retreat 2024
Epworth By The Sea • St. Simons Island, Georgia
Friday, March 15 - Sunday, March 17, 2024

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

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

Number Adults in Room: *

My room is being paid for by: *

I am paying for how many people?: *

Special Request (Diet, disability, etc):

RATES ARE PER PERSON, BASED ON THE NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER,
AND INCLUDE LODGING FOR 2 NIGHTS, 6 MEALS (FRIDAY SUPPER-SUNDAY LUNCH), GA MOTEL FEE AND TAX.

PLEASE CHECK APPLICABLE RATES:

Turner Lodge

Single (1 adult per room): $392.16

Double (2 adults per room): $265.12 per person

Triple (3 adults per room): $214.16 per person

Quad (4 adults per room): $192.20 per person

Robertson Inn

Single (1 adult per room): $359.30

Double (2 adults per room): $239.30 per person

Triple (3 adults per room): $200.08 per person

Quad (4 adults per room): $185.16 per person

Pitts / Booth

Single (1 adult per room): $324.10

Double (2 adults per room): $220.52 per person

Triple (3 adults per room): $183.66 per person

Quad (4 adults per room): $168.74 per person

FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY FEBRUARY 16, 2024
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.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

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

How did you hear about this event? *

Epworth Cancellation Policy:
Any individual cancellation prior to 30 days of the group's arrival date will receive a full refund.
Any individual cancellation within 30 days of the group's arrival date will forfeit the first night's charge per person.
Any individual cancellation within 2 weeks of the group's arrival date 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,
please email tflavell@epworthbythesea.org or call 912-638-8688.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Clergy Spouses Retreat 2024 Epworth By The Sea • St. Simons Island, GeorgiaFriday, March 15 - Sunday, March 17, 2024

RATES ARE PER PERSON, BASED ON THE NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER, AND INCLUDE LODGING FOR 2 NIGHTS, 6 MEALS (FRIDAY SUPPER-SUNDAY LUNCH), GA MOTEL FEE AND TAX.

FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY FEBRUARY 16, 2024 Make check payable to Epworth By The Sea

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.

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 31522Reservations must be made online. For any additional information regarding accommodations,please email tflavell@epworthbythesea.org or call 912-638-8688.

**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**

Clergy Spouses Retreat 2024
Epworth By The Sea • St. Simons Island, Georgia
Friday, March 15 - Sunday, March 17, 2024

RATES ARE PER PERSON, BASED ON THE NUMBER OF ADULTS STAYING IN THE ROOM TOGETHER,
AND INCLUDE LODGING FOR 2 NIGHTS, 6 MEALS (FRIDAY SUPPER-SUNDAY LUNCH), GA MOTEL FEE AND TAX.

FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY FEBRUARY 16, 2024
Make check payable to Epworth By The Sea

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.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.