Kingly Daughter's Retreat 2019
Wednesday, March 27, 2019 - Saturday, March 30, 2019
Housing Form for Epworth By The Sea
Roommate if other than Spouse:
LODGING OPTIONS: Please check applicable rate
SINGLE: $493.47 per adult staying 1 adult per room
DOUBLE: $340.83 per adult staying 2 adults per room
TRIPLE: $279.57 per adult staying 3 adults per room
QUAD: $254.13 per adult staying 4 adults per room
Rates are per person, based on the number of adults staying in the room together and include 3 nights, 9 meals, tax and the State of Georgia motel fee.
$100.00 deposit due with reservation by January 15, 2019.
Balance in full due by February 29, 2019.
Number Adults in Room:
I am paying for how many people?
My room is being paid for by:
Epworth Cancellation Policy:
Full refund prior to March 15, 2019.
After March 15, 2019, any individual cancellation will result in forfeiture
of $50.00 per person.
Cancellations within 72 hours of arrival will forfeit full charges.
Make check payable to Epworth By The Sea.
Check Amount: $
OR Enter Credit Card Payment Below:
Name on Card
Credit Card Type
Amount to Charge: $
Credit Card Number
3 Digit Security Code
Expiration Date (mm/yy)
Billing Address Zip Code
Check to affirm I am authorized to make these credit card charges.
I Authorize these charges
Please submit this form online, or you may print and FAX to 912-634-0642 or mail to:
Epworth By The Sea
ATTN: Renthia Lewis
P. O. Box 20407
St. Simons Island, GA 31522
Phone: 912-638-8688 • Fax: 912-634-0642
For further information please email firstname.lastname@example.org
No phone reservations accepted. No pets or alcohol. Check-in: 4:00pm - Check-out: 11:30am
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR E-MAILED TO YOU *
This form is for Epworth By The Sea Housing ONLY.