EAGLES
Epworth By The Sea • St. Simons Island, Georgia
Monday, October 17, 2022 - Wednesday, October 19, 2022

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

Number Adults in Room: *

Special Request (Diet, disability, etc):

Roommate Request: (Roommates other than family, complete separate form.)

PLEASE SELECT YOUR MOTEL BUILDING:

Turner Lodge

Single Occupancy

Double Occupancy

Triple Occupancy

Quad Occupancy

Robertson Inn

Single Occupancy

Double Occupancy

Triple Occupancy

Quad Occupancy

Pitts/Booth

Single Occupancy

Double Occupancy

Triple Occupancy

Quad Occupancy

Reynolds

Single Occupancy

Double Occupancy

Triple Occupancy

Quad Occupancy

Meals are $100.18 per person for 2 nights
Number of people needing meals? *

Check #:

Check Amount:

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.

Name on Card

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 Monday, October 3, 2022, will result in forfeiture of $40 per person.
Any individual cancellation within 72 hours of arrival will forfeit first night’s charges per person.

Please submit this form online, or you may print & 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,
please email Renthia Lewis at troberts@epworthbythesea.org or call 912-638-8688.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

EAGLES Epworth By The Sea • St. Simons Island, GeorgiaMonday, October 17, 2022 - Wednesday, October 19, 2022

Or Submit Credit Card Information Below:Online reservations must be paid for by credit card only.

Epworth Cancellation Policy:Any individual cancellation after Monday, October 3, 2022, will result in forfeiture of $40 per person. Any individual cancellation within 72 hours of arrival will forfeit first night’s charges per person.

**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**

EAGLES
Epworth By The Sea • St. Simons Island, Georgia
Monday, October 17, 2022 - Wednesday, October 19, 2022

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.

Epworth Cancellation Policy:
Any individual cancellation after Monday, October 3, 2022, will result in forfeiture of $40 per person.
Any individual cancellation within 72 hours of arrival will forfeit first night’s charges per person.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.