Becoming The Perfect Me
Housing Registration Form • Epworth By The Sea
Friday, September 20, 2024 - Sunday, September 22, 2024

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. Parking is provided.

Please check your choice:

COMMUTERS:
Individuals not staying on Epworth's campus, must register as a commuter. Please contact Trice Roberts in Group Reservations to register as a commuter.

Turner Lodge

Single: $406.24

Double: $279.20 per person

Triple: $228.24 per person

Quad: $203.94 per person

Robertson Inn

Single: $385.12

Double: $258.08 per person

Triple: $211.82 per person

Quad: $196.90 per person

Pitts/Booth

Single: $340.52

Double: $239.30 per person

Triple: $197.74 per person

Quad: $185.16 per person

Reynolds Motel Rooms

Single: $307.66

Double: $213.48 per person

Triple: $178.96 per person

Quad: $166.38 per person

Adult Roommate Name 1:

Adult Roommate Name 2:

Adult Roommate Name 3:

Number of Adults in Room?

My room is being paid for by: *

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

$100 DEPOSIT IS DUE AT THE TIME OF REGISTRATION.
FULL PAYMENT IS DUE BY SEPTEMBER 20, 2024

Make check 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.

**WE DO NOT ACCEPT AMERICAN EXPRESS CREDIT CARDS.**

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:
Any individual cancellation after September 6, 2024, will result in a forfeiture of $50 per person.
Any individual cancellation within 72 hours prior to arrival will forfeit first night's charges.

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 20, 2024 - Sunday, September 22, 2024

Rates are per person based on the room occupancyand include lodging for 2 nights, 6 meals,Georgia Motel Fee and tax. Parking is provided. Please check your choice:

COMMUTERS: Individuals not staying on Epworth's campus, must register as a commuter. Please contact Trice Roberts in Group Reservations to register as a commuter.

$100 DEPOSIT IS DUE AT THE TIME OF REGISTRATION. FULL PAYMENT IS DUE BY SEPTEMBER 20, 2024 Make check payable to Epworth By The Sea.

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