Mary Kay
Housing Registration Form
Friday, October 4 - Sunday, October 6, 2024
Epworth By The Sea • St. Simons Island, Georgia

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

Turner Lodge

Single Per Person: $415.62

Double Per Person: $286.24

Triple Per Person: $230.60

Quad Per Person: $208.64

Robertson Inn

Single Per Person: $392.16

Double Per Person: $265.12

Triple Per Person: $214.16

Quad Per Person: $196.90

Pitts/Booth

Single Per Person: $354.60

Double Per Person: $248.68

Triple Per Person: $202.42

Quad Per Person: $187.50

Roommate Name:

Number Adults in Room:

My room is being paid for by: *

I am paying for how many adults?

**COMMUTER FEE: $5.62 per day plus meals.

Yes, I am registering as a commuter.

COMMUTERS ONLY:
Please check below the meals you would like to purchase as a commuter.

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

HOTEL RESERVATIONS:
Reservations may be held with a credit card. Please, reserve the room for the number of guests you anticipate attending the retreat. Epworth will order and prepare meals based on the number of guests with reservations. We need final number of guests 7 days prior to arrival. Your card will be charged if you arrive with less people than reserved under your reservation. Each guest may pay individually upon arrival.

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.

**WE DO NOT ACCEPT AMERICAN EXPRESS CREDIT CARDS.**

Name on Card

Credit 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 +

Authorized Signature

clear

EPWORTH CANCELLATION POLICY:
Any individual cancellation after September 22, 2023 will forfeit $55.00 per person.
Any individual cancellation within 72 hours of arrival will result in forfeiture of entire per person charge.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Renthia Lewis
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
contact Renthia Lewis: rlewis@epworthbythesea.org or call 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 OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Mary Kay Housing Registration Form Friday, October 4 - Sunday, October 6, 2024Epworth By The Sea • St. Simons Island, Georgia

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes. PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

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.

EPWORTH CANCELLATION POLICY: Any individual cancellation after September 22, 2023 will forfeit $55.00 per person. Any individual cancellation within 72 hours of arrival will result in forfeiture of entire per person charge.

*PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*

Mary Kay
Housing Registration Form
Friday, October 4 - Sunday, October 6, 2024
Epworth By The Sea • St. Simons Island, Georgia

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

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.

EPWORTH CANCELLATION POLICY:
Any individual cancellation after September 22, 2023 will forfeit $55.00 per person.
Any individual cancellation within 72 hours of arrival will result in forfeiture of entire per person charge.

PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.