Spirit of True Worship Ministry Leadership Sabbatical Retreat
Housing Registration Form
Thursday, September 28 - Saturday, September 30, 2023
Epworth By The Sea • St. Simons Island, Georgia

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

Pitts/Booth

Single (staying 1 per room): $319.40

Double (staying 2 per room): $215.82 per person

Roommate Name:

Number Adults in Room:

My room is being paid for by: *

I am paying for how many adults?

Arrival Date: +

Departure Date: Date: +

Special Request (Diet, disability, etc):

Full payment due with reservation by September 14, 2023.

Check #:

Check Amount:

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

**WE DO NOT ACCEPT AMERICAN EXPRESS CREDIT CARDS.**

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:
Any individual cancellation within 30 days of arrival date will forfeit your per person deposit.
Any individual cancellation within 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.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Kelly Maloy
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
contact Kelly Maloy: kmaloy@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.

Spirit of True Worship Ministry Leadership Sabbatical Retreat Housing Registration Form Thursday, September 28 - Saturday, September 30, 2023Epworth By The Sea • St. Simons Island, Georgia

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes. PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

Full payment due with reservation by September 14, 2023.

Or Submit Credit Card Information Below:Online reservations must be paid for by credit card only. There is a 3% Credit Card Transaction Fee on payments over $1,000.

*PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.*

Spirit of True Worship Ministry Leadership Sabbatical Retreat
Housing Registration Form
Thursday, September 28 - Saturday, September 30, 2023
Epworth By The Sea • St. Simons Island, Georgia

Rates listed below are per person based on the number of adults staying in the room together, and include lodging for 2 nights and 6 meals, state of Georgia motel fee and taxes.
PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS:

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.