Winning Women
Housing Registration Form • October 13-15, 2023
Epworth By The Sea • St. Simons Island, Georgia

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

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:

Turner Lodge

Single (1 adult per room): $439.82

Double (2 adults per room): $324.50 per person

Triple (3 adults per room): $275.90 per person

Quad (4 adults per room): $253.94 per person

Robertson Inn

Single (1 adult per room): $418.68

Double (2 adults per room): $303.38 per person

Triple (3 adults per room): $259.48 per person

Quad (4 adults per room): $246.90 per person

Pitts / Booth

Single (1 adult per room): $385.84

Double (2 adults per room): $284.60 per person

Triple (3 adults per room): $245.40 per person

Quad (4 adults per room): $235.16 per person

Reynolds

Single (1 adult per room): $352.98

Double (2 adults per room): $258.78 per person

Triple (3 adults per room): $226.62 per person

Quad (4 adults per room): $216.38 per person

Roommate Name:

Number Adults in Room:

No. Children in Room with Adult
(age 3-12) - $57.30 per child:

No. Teens in Room with Adult -
$126.98 per teen:

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?

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

HOTEL RESERVATIONS:
Full payment due with individual reservation by September 15, 2023.
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Check #:

Check Amount:

Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.

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

Name on Card

Credit 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 within 30 days of arrival date will forfeit your per person deposit.
• Any individual cancellation within 14 days of arrival date will forfeit the first night’s rate.
• Any individual cancellation within 72 hours of arrival date will forfeit the entire per person charges.

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,
contact Tiffany Flavell: tflavell@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 A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Winning Women Housing Registration Form • October 13-15, 2023Epworth By The Sea • St. Simons Island, Georgia

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:

HOTEL RESERVATIONS:Full payment due with individual reservation by September 15, 2023.PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONMake check payable to Epworth By The Sea

Or Submit Credit Card Information Below: There is a 3% Credit Card Transaction Fee on payments over $1,000.

*PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*

Winning Women
Housing Registration Form • October 13-15, 2023
Epworth By The Sea • St. Simons Island, Georgia

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:

HOTEL RESERVATIONS:
Full payment due with individual reservation by September 15, 2023.
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.

PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.