2024 GA Disciples Women Fall Retreat
Housing Registration Form • Epworth By The Sea
Friday, September 27, 2024 - Sunday, September 29, 2024

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Rates are per person based on the room occupancy
and include lodging for 2 nights, 6 meals,
Georgia Motel Fee and tax.
Please check your choice:

Turner Lodge

*There are limited rooms available in Turner Lodge. Please contact Epworth for availability: 912-638-8688

Robertson Inn

Single: $385.12

Double: $258.08 per person

Triple: $211.82 per person

Quad: $196.90 per person

Pitts/Booth

Single: $340.52

Double: $239.30 per person

Triple: $197.74 per person

Quad: $185.16 per person

Early Arrivals or Stayovers may rent their room only at the prices below.

Robertson Inn: $141.13 per night

Pitts/Booth: $127.04 per night

How Many in Room?

My room is being paid for by: *

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

Roommate Name 1:

Roommate Name 2:

Roommate Name 3:

COMMUTERS:
(Anyone not staying on property)
$11.25 per commuter + meals

MEALS:
Breakfast: $12.36 per person
Lunch: $20.22 per person
Supper: $24.72 per person

COMMUTERS PAY FULL BALANCE AT REGISTRATION.

Please select ALL meals you will need as a commuter:

A $100 per person deposit is required with each reservation.
Remaining balance due upon check-in.
COMMUTERS PAY FULL BALANCE AT REGISTRATION.

Check #:

Check Amount:

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

Name on Card

Card Type

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: +

Signature:

clear

How did you hear of this event? *

Cancellation Policy:
Full refund prior to September 12, 2024.
Any cancellations after September 12, 2024 will forfeit $50.00 per person.
Any cancellations within 72 hours of arrival will forfeit first night charge per person.

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 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 FOR YOUR RECORDS BEFORE SUBMITTING ONLINE.

2024 GA Disciples Women Fall Retreat Housing Registration Form • Epworth By The Sea Friday, September 27, 2024 - Sunday, September 29, 2024

Rates are per person based on the room occupancyand include lodging for 2 nights, 6 meals,Georgia Motel Fee and tax. Please check your choice:

COMMUTERS: (Anyone not staying on property) $11.25 per commuter + meals MEALS: Breakfast: $12.36 per person Lunch: $20.22 per person Supper: $24.72 per person COMMUTERS PAY FULL BALANCE AT REGISTRATION.

A $100 per person deposit is required with each reservation. Remaining balance due upon check-in. COMMUTERS PAY FULL BALANCE AT REGISTRATION.

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