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Epworth By The Sea
IDEAS Conference Participant Registration Form
Purchase Order
*Conference begins Tuesday, June 4, 2024 – Friday, June 7, 2024.
Lodging Form Instructions:
Section 1
: IDEAS Attendee Information
*Each per person rate includes lodging with breakfast and lunch daily beginning Wednesday and ending Friday.
*Participants are on their own for supper each night.
Fill out contact information for conference attendee
*Roommates: List names of additional conference attendees sharing room with you.
*Each conference attendee must complete a separate lodging form.
Last Name:
*
First Name:
*
Address:
*
City:
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code:
*
Phone:
Cell:
Email Address:
*
Alternative Email:
Agency or District:
*
Arrival Date:
+
Departure Date: Date:
+
MEAL RESERVATION:
If you would like to add a reservation for meals, please select all that apply.
Supper is $23.10 per person. $24.72 (with tax) per person
If you would like to add a reservation for any supper meals, please select all that apply.
Meal Selections:
Tuesday Supper
Wednesday Supper
Thursday Supper
ROOMMATES ATTENDING IDEAS:
Each person attending IDEAS in room
MUST
complete a separate form/roommate.
1. First Name:
1. Last Name:
2. First Name:
2. Last Name:
3. First Name:
3. Last Name:
Section 2:
Room Selection and Rates
Room rates are calculated on a per person per night basis
[rate x night(s)]
and include GA Hotel/Motel Tax (non-exempt). Exemption Forms required with payment. Forms will not be accepted after check-in. If forms are not received, you will pay the rate with tax. Reservations for each motel are on a first come first serve basis, based on availability.
Wheelchair accessibility located in Turner Lodge Motel (King bed with pullout sofa bed) and Pitts/Booth Motel (2 Twins or 1 King.)
*If tax forms are not received, you will pay the rate with tax.
Tax Forms Included
Tax Forms Upload
*Wheelchair Accessible Room (in requested building)
I request a Wheelchair Accessible Room
Turner Lodge
*
TURNER LODGE
(Single Occupancy - staying 1 person per room)
Total/Night: $159.35
Bed Tax Exempt/Night: $168.61
Bed and Sales Tax Exempt/Night*** $174.46
*
TURNER LODGE
(Double Occupancy - staying 2 persons per room)
Total/Night: $106.45 per person
Bed Tax Exempt/Night: $112.69 per person
Bed and Sales Tax Exempt/Night*** $116.14 per person
*
TURNER LODGE
(Triple Occupancy - staying 3 persons per room)
Total/Night: $82.52 per person
Bed Tax Exempt/Night: $87.37 per person
Bed and Sales Tax Exempt/Night*** $89.72 per person
*
TURNER LODGE
(Quad Occupancy - staying 4 persons per room)
Total/Night: $73.70 per person
Bed Tax Exempt/Night: $78.05 per person
Bed and Sales Tax Exempt/Night*** $80.00 per person
Robertson Inn
Robertson Inn
(Single Occupancy - staying 1 person per room)
Total/Night: $148.85
Bed Tax Exempt/Night: $157.48
Bed and Sales Tax Exempt/Night*** $162.83
Robertson Inn
(Double Occupancy - staying 2 persons per room)
Total/Night: $97.00 per person
Bed Tax Exempt/Night: $102.67 per person
Bed and Sales Tax Exempt/Night*** $105.67 per person
Robertson Inn
(Triple Occupancy - staying 3 persons per room)
Total/Night: $75.17 per person
Bed Tax Exempt/Night: $79.58 per person
Bed and Sales Tax Exempt/Night*** $81.58 per person
Robertson Inn
(Quad Occupancy - staying 4 persons per room)
Total/Night: $68.45 per person
Bed Tax Exempt/Night: $72.48 per person
Bed and Sales Tax Exempt/Night*** $74.18 per person
Pitts/Booth
*
Pitts/Booth
(Single Occupancy - staying 1 person per room)
Total/Night: $137.30
Bed Tax Exempt/Night: $145.24
Bed and Sales Tax Exempt/Night*** $150.04
*
Pitts/Booth
(Double Occupancy - staying 2 persons per room)
Total/Night: $89.65 per person
Bed Tax Exempt/Night: $94.88 per person
Bed and Sales Tax Exempt/Night*** $97.53 per person
*
Pitts/Booth
(Triple Occupancy - staying 3 persons per room)
Total/Night: $69.92 per person
Bed Tax Exempt/Night: $74.02 per person
Bed and Sales Tax Exempt/Night*** $75.77 per person
*
Pitts/Booth
(Quad Occupancy - staying 4 persons per room)
Total/Night: $64.25 per person
Bed Tax Exempt/Night: $68.03 per person
Bed and Sales Tax Exempt/Night*** $69.53 per person
Reynolds Apartments
Reynolds Apartments
(Single Occupancy - staying 1 person per room)
Total/Night: $148.85
Bed Tax Exempt/Night: $157.48
Bed and Sales Tax Exempt/Night*** $162.83
Reynolds Apartments
(Double Occupancy - staying 2 persons per room)
Total/Night: $97.00 per person
Bed Tax Exempt/Night: $102.67 per person
Bed and Sales Tax Exempt/Night*** $105.67 per person
Reynolds Apartments
(Triple Occupancy - staying 3 persons per room)
Total/Night: $75.17 per person
Bed Tax Exempt/Night: $79.58 per person
Bed and Sales Tax Exempt/Night*** $81.58 per person
Reynolds Apartments
(Quad Occupancy - staying 4 persons per room)
Total/Night: $68.45 per person
Bed Tax Exempt/Night: $72.48 per person
Bed and Sales Tax Exempt/Night*** $74.18 per person
Reynolds Motel
Reynolds Motel
(Single Occupancy - staying 1 person per room)
Total/Night: $123.65
Bed Tax Exempt/Night: $130.77
Bed and Sales Tax Exempt/Night*** $134.92
Reynolds Motel
(Double Occupancy - staying 2 persons per room)
Total/Night: $78.10 per person
Bed Tax Exempt/Night: $82.64 per person
Bed and Sales Tax Exempt/Night*** $84.74 per person
Reynolds Motel
(Triple Occupancy - staying 3 persons per room)
Total/Night: $61.52 per person
Bed Tax Exempt/Night: $65.11 per person
Bed and Sales Tax Exempt/Night*** $66.46 per person
Reynolds Motel
(Quad Occupancy - staying 4 persons per room)
Total/Night: $57.95 per person
Bed Tax Exempt/Night: $61.35 per person
Bed and Sales Tax Exempt/Night*** $62.55 per person
Special Requests:
Number of Children (ages 3-12) in Room With an Adult
$28.65 per child per night
Number of Teens (ages 13-17) in Room With an Adult
$63.49 per teen per night
Number of Adults in Room
*
Section 3: Conference Attendee Cost Calculations
Enter per person nightly rate and multiply the rate times the number of nights and enter the total.
** Local Bed tax exemption. You
MUST
submit signed Bed Tax Exemption form (see your district procedures).
*** Payment must be made using school check or credit card and you must submit both a signed Bed Tax and State Tax (Sales) Exemption form (see your district procedures) to qualify for both state tax and local bed tax exemption. NOTE: Georgia requires a purchase order for all state-funded credit cards (state, local school districts, universities) and that are receiving state tax exemption.
Note: these rates also include a $5.00/night non-exempt State Hotel Room fee.
****Make sure to upload all tax forms that you are exempt from.
1) Building Selection Rate (Include Correct Exemption Rate and Provide Exempt Forms with Payment)
2) Number of Nights:
3) Total (Multiply Line 1 X Line 2)
*
Section 4:
***Payment Information (for Personal Payments not being paid by school or county):
First Night's rate is required as a deposit and the balance must be paid upon check-in.
***Payment Information (only for school payments):
Payment of First Night's rate is required. Make checks payable to Epworth By The Sea (preferred payment method) or charge to MasterCard/Visa/Discover. Charges will be run upon receipt of lodging reservation form. First night’s lodging is required at time of booking and credit card charges are run upon receipt of lodging reservation. This section is used to calculate cost only if conference attendee's lodging is paid for on a school account. Use Section 5 if attendee is paying for lodging on a personal account (regardless if the fee is reimbursed).
My School/County will be funding my charges and payment will be received no later than May 14, 2024.
Yes: If yes, please provide the name of funding school/county, contact person and phone number below.
No: I am paying with personal funds.
Name of School/County Funding your charges no later than May 14, 2024:
Contact Person for School/County Funding:
Phone number for School/County Funding:
Full name of individual paying with personal funds:
Check Number
(Make checks payable to Epworth By The Sea)
Purchase Order Number:
(For all purchases including cards)
Credit Card Type
Visa
MasterCard
Discover
Name on Card
Credit 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
+
Signature
clear
Additional Information:
Cancellation Policy: Full refund on or before May 14, 2024. After May 14 the first night's rate
is not
refunded. Any cancellations made after May 28, 2024 will forfeit the entire rate.
Any date changes made to reservations after May 28, 2024 will not be refunded.
* 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 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 at
ebautista@epworthbythesea.org or Kelly Maloy at kmaloy@epworthbythesea.org or call 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 FOR YOUR RECORDS
BEFORE SUBMITTING THIS FORM.