Georgia Occupational Therapy Association
Thursday, October 26 - Sunday, October 29, 2023
Epworth By The Sea
Address Line 2
Rates are Per Room/Per Night and include lodging,
supper night of arrival through lunch on day of departure, tax, gratuity and the State of Georgia Motel Fee.
(FULL - NO ROOMS AVAILABLE)
Double: $140.77 per person
Tiple: $114.12 per person
Quad: $104.32 per person
Double: $130.21 per person
Triple: $105.91 per person
Quad: $98.45 per person
Double: $122.00 per person
Triple: $100.04 per person
Quad: $93.76 per person
Number of Adults in Room
Number of Children in Room with an Adult
(Child Ages 3-12) $28.65 each:
Number of Teens in Room with an Adult
(Teen Ages 13-17) $63.49 each:
Special Request (Diet, disability, sleeping accommodations, etc):
Roommate other than family, please complete separate form.
Departure Date: Date:
I am paying for how many people?
My room is being paid for by:
$5.76 per person (age 13 and up) per day (includes tax) plus meals.
Meal Prices with Tax and Gratuity:
# of Adults needing meal tickets
# of Children (ages 3-12) needing meal tickets (half price meals)
# of Teens (ages 13-17) needing meal tickets
Please check all meals your family needs a meal ticket for:
# of Adults commuting
# of Children (ages 3-12) commuting
# of Teens (ages 13-17) commuting
***FIRST NIGHT'S RATE IS REQUIRED AS A DEPOSIT AND
THE BALANCE DUE MUST BE PAID UPON CHECK-IN.***
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.
ACCEPT AMERICAN EXPRESS CREDIT CARDS.**
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:
EPWORTH CANCELLATION POLICY:
After October 12, 2023, any individual cancellation will result
in forfeiture of first night’s lodging per person.
Cancellations within 72 hours of arrival will forfeit full charges.
Please submit this form online or you may print and 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 Stephanie Sims:
email@example.com or 912-268-4835
* 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 THIS FORM*