subject_line
WOMEN'S EMPOWERMENT 2024
Epworth By The Sea • St. Simons Island, Georgia
Friday, April 5, 2024 - Sunday, April 7, 2024
Check-in Date
*
+
Check-out Date
*
+
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip Code
*
Phone
*
Email Address
*
Rates are per person and includes 2 nights lodging, meals, taxes and State of Georgia Motel Fee.
Please select by occupancy in hotel room.
Number of adults in room
*
1
2
3
4
How many guest are you paying for ?
*
1
2
3
4
Roommate Request: (Roommates other than family, complete separate form.)
TURNER LODGE
*
$415.62 Single Occupancy
$286.24 Double Occupancy, per person
$230.60 Triple Occupancy, per person
$208.64 Quad Occupancy, per person
Special Request (Diet, disability, sleeping accommodations, etc):
Payment Information:
$100.00 Deposit is required. Balance is due at check-in.
Name on card
*
Card number
*
Expiration (mm/yy)
*
Card Type:
*
Mastercard
Visa
Discover
3 Digit CC Code:
*
CC Zip Code:
*
Amount To Charge:
*
Authorization:
*
I am authorized to make these credit card charges.
Authorized Signature:
*
clear
EPWORTH CANCELLATION POLICY:
*Any individual cancellation after Friday, March 22, 2024 will result in $50.00 per person.
*Any individual cancellation within 72 hours of arrival date will forfeit the first night per person charges.
*Any individual cancellation "on or after arrival date" OR "no show" will result in a forfeiture of all charges per person.
Please press SUBMIT below to submit this form on line OR you may print & mail to:
Epworth By The Sea
Attn: Trice Roberts
P.O. Box 20407
St. Simons Island, GA 31522
For all questions or concerns contact
troberts@epworthbythesea.org
or
call 912-638-8688 x 1515.
*PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING THIS FORM.*