National Fellowship of Associate Members & Local Pastors
Housing Registration Form • Epworth By The Sea
Tuesday, September 12, 2023 - Thursday, September 14, 2023

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.
Please check your choice:

Turner Lodge

Single: $375.72

Double: $260.42 per person

Pitts/Booth

Single: $319.40

Double: $215.82 per person

Early Arrivals or Stayovers may rent their room only at the prices below.

Turner Lodge: $204.50 per night

Pitts/Booth: $151.69 per night

Commuter fee $35.75 per person and includes Tuesday supper:
Breakfast: $12.25 per person
Lunch: $20.05 per person
Supper: $24.50 per person

How Many in Room?

My room is being paid for by: *

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

Roommate Name 1:

Roommate Name 2:

Roommate Name 3:

Check #:

Check Amount:

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

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:
Full refund prior to Tuesday, August 15, 2023.
Any cancellation after Tuesday, August 15, 2023 will forfeit $50.00 per person.
Any cancellations within 14 days of arrival will forfeit first night's charge per person.
Any cancellations within 72 hours of arrival will forfeit entire charge per person.

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.

National Fellowship of Associate Members & Local Pastors Housing Registration Form • Epworth By The Sea Tuesday, September 12, 2023 - Thursday, September 14, 2023

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

Commuter fee $35.75 per person and includes Tuesday supper: Breakfast: $12.25 per person Lunch: $20.05 per person Supper: $24.50 per person

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

PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING ONLINE.

National Fellowship of Associate Members & Local Pastors
Housing Registration Form • Epworth By The Sea
Tuesday, September 12, 2023 - Thursday, September 14, 2023

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

Commuter fee $35.75 per person and includes Tuesday supper:
Breakfast: $12.25 per person
Lunch: $20.05 per person
Supper: $24.50 per person

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