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IDEAS Conference
*COMMUTER MEAL RESERVATIONS ONLY*
Epworth By The Sea • St. Simons Island, Georgia
Conference is Tuesday, June 4, 2024 - Friday, June 7, 2024
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
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Zip Code
*
Phone Number
*
Email Address
*
Please enter all meals you plan on eating at Epworth By The Sea,
then enter the total based on the following rates:
Breakfast - $11.55 + tax = $12.36
Lunch - $18.90 + tax = $20.22
Supper - $23.10 + tax = $24.72
SELECT ALL THAT APPLY:
Tuesday Lunch 6/4
Tuesday Supper 6/4
Wednesday Breakfast 6/5
Wednesday Lunch 6/5
Wednesday Supper 6/5
Thursday Breakfast 6/6
Thursday Lunch 6/6
Thursday Supper 6/6
Friday Breakfast 6/7
Friday Lunch 6/7
Total for Meals:
If Sales Tax Exempt, upload Sales Tax Exemption Form:
Sales Tax Exempt Form Included
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION.
Checks payable to Epworth By The Sea
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
Amount To Charge:
SELECT CARD:
VISA
MASTERCARD
DISCOVER
CARD NUMBER:
NOTE: IF PAYING BY CHECK PLEASE PUT "N/A" IN THIS SPACE!
*
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
* PURCHASE ORDER CREDIT CARD AUTHORIZATION FORM*
School District/County:
*Credit Cards must be issued by the State of Georgia. State issued credit cards are tax exempt. Sales tax and hotel/motel tax exemption forms must accompany this form. Associations, booster clubs and personal methods of payments are not tax exempt. Please make sure your Tax Exempt Forms are uploaded.
Upload Sales Tax Exempt Form
Sales Tax Exempt Form Included
you must have at least one item
Upload Hotel/Motel Tax Exempt Form
Hotel/Motel Tax Exempt Form Included
you must have at least one item
NAME ON CREDIT CARD:
ACCOUNT NUMBER:
EXPIRATION DATE:
BILLING ADDRESS:
CITY:
STATE:
ZIPCODE:
PHONE:
FAX:
AUTHORIZED USER OF CREDIT CARD:
NAME:
COMPANY:
PHONE NUMBER:
EMAIL ADDRESS:
IDENTIFICATION:
RELATION TO OWNER:
TYPE OF CHARGES:
AUTHORIZED AMOUNT:
DATES OF CHARGES:
AUTHORIZATION OF CARD USE:
I certify that I am the authorized holder and signer of the credit card referenced above.
I certify that all information above is complete and accurate.
I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the "AUTHORIZED AMOUNT" field. I understand this is only for up to this amount during the time period of "DATES OF CHARGES" referenced above. If additional charges are going to be authorized a new form will have to be completed.
CARDHOLDER NAME:
TODAY'S DATE:
Signature
clear
2024 Cancellation Policy:
Full refund on or before May 20, 2024
Any cancellations made after May 20, 2024, will forfeit entire rate.
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 and mail to:
Epworth By The Sea
Attn: Kelly Maloy
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations, contact Erica Bautista:
ebautista@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.
This form is for Epworth By The Sea ONLY.
*PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*