Southern Lights 2024
Housing Registration Form • Epworth By The Sea
Friday, January 12, 2024 - Sunday, January 14, 2024

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Church Group:

For Housing and Meals
Rates are per person, based on the room occupancy
and include lodging, meals and Georgia Motel Fee and tax.
Please check your choice:

2-night option: Meals include Friday Supper through Sunday Lunch

Turner Lodge:

Single: $403.90

Double: $286.24 per person

Robertson Inn:

Single: $380.42

Double: $265.12 per person

Pitts / Booth

Single: $354.60

Double: $248.68 per person

Reynolds:

Single: $324.10

Double: $222.86 per person

3-night option: Meals include Thursday Supper through Sunday Lunch

Turner Lodge:

Single: $605.85

Double: $429.36 per person

Robertson Inn:

Single: $570.63

Double: $397.68 per person

Pitts / Booth

Single: $531.90

Double: $373.02 per person

Reynolds:

Single: $486.15

Double: $334.29 per person

Number of Adults:

How Many in Room?

My room is being paid for by: *

Arrival Date: +

Departure Date: +

Special Request (Diet, disability, etc):

Name(s) for Meal Ticket:

Roommate Name 1:

Roommate Name 2:

Roommate Name 3:

Full payment due with reservation.
Reservations and payments due by November 15, 2023 and are subject to availability.
This event typically fills up quickly.

Order Number from Southern Lights: *

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:
Any individual cancellation after November 15, 2023 will forfeit the first night's charge per person.
Any cancellation after December 15, 2023 will forfeit the full charges per person.

Please submit this form online or you may print and mail to:
Epworth By The Sea
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 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.

Southern Lights 2024 Housing Registration Form • Epworth By The Sea Friday, January 12, 2024 - Sunday, January 14, 2024

** For Housing and Meals** Rates are per person, based on the room occupancyand include lodging, meals and Georgia Motel Fee and tax. Please check your choice: