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Eaddy Harris Brown Family Reunion
Housing Registration Form
Friday, July 21, 2023 - Sunday, July 23, 2023
Epworth By The Sea • St. Simons Island, Georgia
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
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Zip Code
*
Phone Number
*
Email Address
*
ROOM RATES ARE PER PERSON, based on the number of adults staying in the room together, and includes lodging for 2 nights, Saturday breakfast, Saturday Banquet, Sunday breakfast and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:
Robertson Inn
Single: $414.43 per adult staying 1 adult per room
Double: $300.11 per adult staying 2 adults per room
Triple: $251.93 per adult staying 3 adults per room
Quad: $237.13 per adult staying 4 adults per room
Turner Lodge
Single: $437.69 per adult staying 1 adult per room
Double: $321.05 per adult staying 2 adults per room
Triple: $268.21 per adult staying 3 adults per room
Quad: $248.77 per adult staying 4 adults per room
Number Adults in Room:
No. Children in Room with Adult
(ages 3-12)
$77.80 per child:
No. Teens in Room with Adult
(ages 13-17)
$167.19 per teen:
My room is being paid for by:
*
COMMUTERS (Housing Not Required):
BANQUET MEAL: Included in the above rates for on-campus guests.
COMMUTER FEE: $50.00 per Adult and $25 per Child
Number of Adult Plates:
Number of Children's Plates:
Number of Vegetarian/Vegan Plates:
Arrival Date:
*
+
Departure Date: Date:
*
+
Special Request (Diet, disability, etc):
HOTEL RESERVATIONS:
Full payment is due with individual reservation at time of reservation. When using paper reservation form, please send check payable to Epworth By The Sea, or we can charge full amount to MasterCard/Visa/Discover. We do not accept American Express.
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check 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.
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
+
Authorized Signature
clear
EPWORTH CANCELLATION POLICY:
If you cancel your registration on or before 4:00pm, Friday, May 26, 2023, you will receive a full refund. If cancellation is made after 4:00pm, Friday, May 26, 2023, the cancellation penalty is the first night’s charge per person. Cancellations after June 23, 2023 will be charged the full cost per person. Unexpected early departures will be charged for total nights reserved.
Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
contact Tiffany Flavell:
tflavell@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. 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 OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*