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Reformed Baptist Network Family Camp 2023
July 13 - July 15, 2023
Housing Form for Epworth By The Sea
First Name
*
Last Name
*
Additional Adult staying in same room
First Name
Last Name
Street Address
*
Address Line 2
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 Number
*
Email Address
*
Rates are per person including lodging for 2 nights lodging, 6 meals, tax, gratuity and Georgia Motel fee.
Turner Lodge
*
Single: $389.82 staying 1 adult per room
Double: $274.50 staying 2 adults per room
Children and Teens:
Child (ages 3-12): $57.30 per child
Teen (ages 13-17): $126.98 per teen
Total number of ADULTS in room:
Total number of CHILDREN in room:
Total number of TEENS in room:
Total number of people in room:
*
*Accommodations are available for early arrival. Rooms are available starting Sunday, July 9, 2023. The rate is $164.60 per night, per room with tax and GA Motel Fee. Meals are not included until Thursday supper with the camp retreat.
TOTAL AMOUNT DUE:
Minimum non-refundable deposit to secure reservation is $250.00.
Any remaining balance will be due upon arrival.
$250.00 Deposit
Full Amount
Special Request
(Disability, Diet, etc.)
I am paying for how many people:
*
Arrival Date:
*
+
Departure Date:
*
+
Number of Nights
*
If paying by check, please print this form and mail with your check.
CHECK NUMBER:
CHECK AMOUNT:
Or Submit Credit Card Information Below:
There is a 3% Credit Card Transaction Fee on payments over $1,000.
CREDIT CARD TYPE
VISA
MASTERCARD
DISCOVER
AMOUNT TO CHARGE:
NAME ON CARD
CARD NUMBER:
EXP. DATE
3 DIGIT SECURITY NUMBER
BILLING ADDRESS ZIP CODE:
I am authorized to make these credit card charges:
Yes, I Am Authorized
EPWORTH CANCELLATION POLICY:
Any individual cancellation after June 13, 2023 will forfeit $50 per adult.
Any individual cancellation after 14 days of arrival date will forfeit the first night's rate.
Any individual cancellation within 72 hours of arrival date will forfeit the entire per person charges to credit card on file.
Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
Attn: Renthia Lewis
P. O. Box 20407
St. Simons Island, GA 31522
FOR ADDITIONAL INFORMATION, PLEASE EMAIL rlewis@epworthbythesea.org
* 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.