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GEORGIA ZETA DAY 2025
Housing Registration Form • Epworth By The Sea
Friday, January 31, 2025 - Sunday, February 2, 2025
Arrival Date:
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Departure Date:
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How Many Nights are you staying?
Please make sure your arrival/departure date is correct
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
** NIGHTLY RATES **
Rates are per person, per night based on the room occupancy
and include lodging, meals and Georgia Motel Fee and tax.
ROOM REGISTRATION:
Meals include Supper on arrival through Lunch on your departure date.
Please select your choice of lodging:
Turner Lodge (FULL)
Single: $211.24
Double: $146.54 per person
Triple: $117.55 per person
Quad: $106.57 per person
Robertson Inn:(King Bed Only)(FULL)
Single: $199.50
Double: $135.98 per person
Triple: $109.33 per person
Quad: $100.70 per person
Pitts/Booth:
Single: $180.73
Double: $127.77 per person
Triple: $103.47 per person
Quad: $96.01 per person
Number of Adults:
How Many in Room?
Roommate Name 1:
Roommate Name 2:
Roommate Name 3:
My room is being paid for by:
*
Special Request (Diet, disability, etc):
Special Request (Diet, disability, etc):
$100.00 deposit due with room reservation.
Balance is due upon arrival
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
Card Type
Visa
MasterCard
Discover
CARD NUMBER:
Amount To Charge:
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:
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Signature:
clear
How did you hear of this event?
*
Epworth Cancellation Policy:
Any individual cancellation after Wednesday, January 15, 2025, will forfeit $50 per person; if you are sharing a room, your roommate's charges will increase after you cancel.
Any individual cancellation within72 hours of the group's arrival date will forfeit the first night charges per person; if you are sharing a room, your roommate's charges will increase for the second night.
Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Trice Roberts
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations, contact Trice Roberts:
troberts@epworthbythesea.org or 912-638-8688.
* CONFIRMATION OF YOUR RESERVATION WILL BE 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!!
If you plan on attending but do not want to stay on property, please contact Trice Roberts, Group Reservations.
This form is for Epworth By The Sea ONLY.
PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING ONLINE.