Georgia Power Ambassadors
Epworth By The Sea • St. Simons Island, Georgia
Tuesday, April 22, 2025 - Friday, April 25, 2025

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Arrival Date: +

Departure Date: Date: +

Roommate(s) Name:
Roommate other than family please complete separate form.

Number of Adults in Room: *

My room is being paid for by: *

I am paying for how many people?: *

Special Request (Diet, disability, etc.):

Rates are per person based on the number of adults in each room, and include
3 nights, 8 meals, tax, and state of Georgia motel fee.

PLEASE CHECK APPLICABLE RATES:

Turner Lodge

Single: $633.72

Double: $439.62 per person

Robertson Inn

Single: $598.50

Double: $407.94 per person

Pitts/Booth

Single: $542.19

Double: $382.41 per person

EARLY ARRIVALS/STAY OVERS:
No meals included. Discounted Rates Below.

Turner Lodge

$173.98 per night

Robertson Inn

$145.82 per night

Pitts/Booth

$131.74 per night

COMMUTERS:
$20.00 PLUS COST OF MEALS
Breakfast: $13.48 per person
Lunch: $20.22 per person
Supper: $25.84 per person

How many commuters are you registering?

Please check ALL meals you are requesting:

FULL PAYMENT OR $100 PER PERSON DEPOSIT DUE WITH RESERVATION BY MARCH 22, 2025.

Checks 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:

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 +

Authorized Signature

clear

Epworth Cancellation Policy:
• Any individual cancellation within 30 days of arrival date will forfeit $50 per person.
• Any individual cancellation within 7 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.

Please submit this form online, or you may print & mail to:
Epworth By The Sea
Attn: Renthia Lewis
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
please email Renthia Lewis at rlewis@epworthbythesea.org or call 912-638-8688.

PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Georgia Power Ambassadors Epworth By The Sea • St. Simons Island, GeorgiaTuesday, April 22, 2025 - Friday, April 25, 2025

Rates are per person based on the number of adults in each room, and include 3 nights, 8 meals, tax, and state of Georgia motel fee.

EARLY ARRIVALS/STAY OVERS: No meals included. Discounted Rates Below.

COMMUTERS: $20.00 PLUS COST OF MEALS Breakfast: $13.48 per person Lunch: $20.22 per person Supper: $25.84 per person