Evangel Fellowship International Leverage Conference
Housing Registration Form • Epworth By The Sea
Monday, November 1, 2021 - Wednesday, November 3, 2021
Address Line 2
** For Housing and Meals**
Rates are based on the number of adults staying in the room together
and include lodging for 2 nights, 6 meals,
Tax, Gratuity and Georgia Motel Fee.
Please check your choice:
Double: $236.64 per person
Triple: $184.72 per person
Quad: $167.88 per person
Double: $174.96 per person
*Early Arrivals/Stay Overs: Includes Lodging, Tax and GA Motel Fee. Meals are NOT included.
Turner Lodge: $169.42 per night
Reynolds: $102.05 per night
In Room with Adults:
Children (ages 3-12): $39.30 per person
Teen (ages 13-17): $90.02 per person
How Many in Room?
Number of Adults:
Number of Children:
Number of Teens:
My room is being paid for by:
Departure Date: Date:
Special Request (Diet, disability, etc):
Roommate Name 1:
Roommate Name 2:
Roommate Name 3:
$100 is due per adult with reservation.
Full payment is due October 1, 2021.
Submit Credit Card Information Below:
Name on Card
Credit Card Type
Amount To Charge:
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
Full refund prior to October 1, 2021.
Any cancellations after October 1, 2021 will result in a forfeiture of $50.00 per person.
Any cancellations after October 15, 2021 will forfeit $100 per person.
Any cancellation within 72 hours of arrival will forfeit the entire per person charge.
Please submit this form online, or you may print & mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations, contact Renthia Lewis:
email@example.com 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.