GA F.A.I.T.H. Riders
Epworth By The Sea • St. Simons Island, Georgia
April 26 - 28, 2019
Address Line 2
Number of Adults in Room?
My room is being paid for by:
Special Request (Diet, disability, etc):
*Rates are per person based on number of adults in room
and include 2 nights, 6 meals, tax and the state of Georgia motel fee.
~ PLEASE CHECK APPLICABLE RATE ~
Single Per Person: $257.56
Double Per Person: $174.22
Triple Per Person: $140.30
Quad Per Person: $134.84
Single Per Person: $308.26
Double Per Person: $208.78
Triple Per Person: $167.94
Quad Per Person: $162.50
Guests not staying on property may purchase meals.
Meal times are: Breakfast 7am-9am, lunch 11:45am-1pm, supper 5:50pm-7pm.
Cost for meals is $79.40 per person - includes Friday supper, Saturday breakfast, lunch and supper,
Sunday breakfast and lunch. Tax and gratuity included.
Number of People::
X $79.40 per person = Total Amount Due:
Total Amount: $
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
Checks payable to Epworth By The Sea
Check Amount: $
Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only
Credit Card Type
Name on Card
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:
I Am Authorized
Epworth Cancellation Policy:
Full payment due with reservation by April 12, 2019
Any cancellation after April 12, 2019 will forfeit $40.00 per person.
Any cancellation after April 23, 2019 will result in forfeiture of the full charges per person.
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
Please email any questions to: firstname.lastname@example.org
* 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.
This form is for Epworth By The Sea ONLY.