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Christ-St. Paul Church
Epworth By The Sea • St. Simons Island, Georgia
Friday, March 1, 2024 - Sunday, March 3, 2024
First Name
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Last Name
*
Street Address
*
Address Line 2
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State
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Zip Code
*
Phone Number
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Email Address
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Arrival Date:
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Departure Date: Date:
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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:
*
I am paying for how many people?:
*
Number of Children in Room:
(Ages 3-12 years)
Number of Teens in Room:
(Ages 13-17 years)
Special Request (Diet, disability, etc):
Rates are per person based on the number of adults in each room, and include
2 nights, 6 meals, tax, and state of Georgia motel fee.
PLEASE CHECK APPLICABLE RATES:
Turner Lodge
Single Per Person: $394.50
Double Per Person: $279.20
Robertson Inn
Single Per Person: $373.38
Double Per Person: $258.08
Pitts / Booth
Single Per Person: $340.52
Double Per Person: $239.30
Child (Ages 3-12 years)
$57.30 per child
Teen (Ages 13-17 years)
$126.34 per teen
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
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
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Authorized Signature
clear
Epworth Group Cancellation Policy:
Full payment due with reservation by Friday, February 9, 2024.
Any cancellation after Friday, February 9, 2024, will forfeit $40 per person.
Any cancellation within 72 hours of arrival will result in the forfeiture of the first night's charges per person.
Please submit this form online, or you may print & 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,
please email Trice Roberts at
troberts@epworthbythesea.org
or call 912-638-8688.
**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**