Becoming The Perfect Me
Housing Registration Form • Epworth By The Sea
Friday, September 29, 2023 - Sunday, October 1, 2023

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.
*Rates are subject to change based on any change to taxes.
Please check your choice:

Reynolds Motel Apartments

Single: $368.68

Double: $253.38 per person

Triple: $209.48 per person

Quad: $196.90 per person

Reynolds Motel Rooms

Single: $302.98

Double: $208.78 per person

Triple: $176.62 per person

Quad: $166.38 per person

Pitts/Booth

Single: $335.84

Double: $234.60 per person

Triple: $195.40 per person

Quad: $185.16 per person

Child Rate:
(Ages 3-12)

$57.30

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

Reynolds Motel Rooms: $104.75 per night

Pitts/Booth Motel: $151.69 per night

Reynolds Efficiency Apartments: $169.29 per night

Reynolds Deluxe Apartments: $181.03 per night

How Many Adults in Room?

How Many Children in Room?
(Ages 3-12)

My room is being paid for by: *

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

Adult Roommate Name 1:

Adult Roommate Name 2:

Adult Roommate Name 3:

Adult Roommate Name 4:

A $100 per person deposit is required with each reservation.
Remaining balance due upon check-in.

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 Friday, September 1, 2023.
Any cancellations after Friday, September 1, 2023 will forfeit $40.00 per person.
Any cancellations after Friday, September 22, 2023 will result in forfeiture of first night charges per person.
Any cancellations within 72 hours of arrival will forfeit entire 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.

Becoming The Perfect Me Housing Registration Form • Epworth By The Sea Friday, September 29, 2023 - Sunday, October 1, 2023

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

A $100 per person deposit is required with each reservation. Remaining balance due upon check-in.

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

PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING ONLINE.

Becoming The Perfect Me
Housing Registration Form • Epworth By The Sea
Friday, September 29, 2023 - Sunday, October 1, 2023

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

A $100 per person deposit is required with each reservation.
Remaining balance due upon check-in.

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