SEJ-Marcha Latino Caucas Housing Form
Epworth By The Sea • St. Simons Island, Georgia
Thursday, May 16, 2019 - Saturday, May 18, 2019
Address Line 2
Roommate other than family please complete separate form
How Many Adults in Room?
I am paying for how many people?
My room is being paid for by:
Special Request (Diet, disability, etc):
Rates are perperson, based on the number of adults staying in the room together, and include
lodging for 2 nights, 6 meals, tax & the State of Georgia motel fee.
~ PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS ~
Single Per Person: $216.08
Double Per Person: $146.56
Triple Per Person: $121.86
Quad Per Person: $116.42
Single Per Person: $236.82
Double Per Person: $160.36
Triple Per Person: $131.08
Quad Per Person: - $125.64
Single Per Person: $259.86
Double Per Person: $176.52
Triple Per Person: - $147.20
Quad Per Person: $141.76
Single Per Person: $280.60
Double Per Person: $197.26
Triple Per Person: $165.64
Quad Per Person: $148.68
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
MAKE Checks payable to Epworth By The Sea
Check Amount: $
Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only
Credit Card Type
Name on Card
Amount To Charge: $
Credit Card Number
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
I Am Authorized
Epworth Cancellation Policy:
Full refund prior to April 16, 2019.
Cancellations between April 16th - May 13th, forfeit $40.00 per person.
Cancellations within 72 hours of arrival will forfeit first night charges.
RESERVATIONS NOT ACCEPTED BY PHONE
BUT MAY BE MAILED, FAXED, OR EMAILED TO THE INFORMATION BELOW
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to: firstname.lastname@example.org
* 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.
This form is for Epworth By The Sea ONLY.