Winning Women 2019
Housing Registration Form • October 18 - 20, 2019
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 for 2 nights and 6 meals, state of Georgia motel fee, taxes, and a $50 per person registration fee. Free parking is provided.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:
Single Per Person: $307.56
Double Per Person: $224.22
Triple Per Person: $190.30
Quad Per Person: $184.84
Pitts / Booth
Single Per Person: $332.90
Double Per Person: $244.88
Triple Per Person: $206.42
Quad Per Person: $200.98
Single Per Person: $358.26
Double Per Person: $258.78
Triple Per Person: $217.94
Quad Per Person: $212.50
Single Per Person: $378.98
Double Per Person: $277.22
Triple Per Person: $236.38
Quad Per Person: $219.42
BUNK BED STYLE CABINS PER PERSON:
(YOU MUST PROVIDE YOUR OWN BED LINENS, PILLOW, BLANKET, TOWELS)
HOW MANY ADULTS AT $160.22 PER PERSON
Number Adults in Room:
No. Children in Room
(age 3-12) @ $39.68 each:
No. Teens in Room
@ $ 90.88 each:
My room is being paid for by:
I am paying for how many adults?
I am paying for how many children?
I am paying for how many teens?
Departure Date: Date:
Special Request (Diet, disability, etc):
Hotel Reservations with Epworth By The Sea due by October 5, 2019.
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea
Or Submit Credit Card Information Below:
Name on Card
Credit Card Type:
Amount To Charge:
Credit Card Number
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 Cancellations made after 4pm October 5, 2019
will forfeit the first night's rate.
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 June Davis:
firstname.lastname@example.org or 912-638-4614
* 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.