PW SYNOD GATHERING
Epworth By The Sea • St. Simons Island, Georgia
Friday, Oct. 21, 2022 - Sunday, Oct. 23, 2022
(Early Arrivals - Wednesday, Oct. 19 and/or Thursday, Oct. 20)
Address Line 2
How Many in Room?
I am paying for how many adults?
My room is being paid for by:
Special Request (Diet, disability, etc):
Rates are per person, per night, and include lodging, meals, tax
& State of Georgia motel fee.
PLEASE CHECK APPLICABLE RATE:
Single Per Person - $179.78
Double Per Person - $122.87
Triple Per Person - $98.53
Quad Per Person - $87.64
Single Per Person - $169.31
Double Per Person - $112.15
Triple Per Person - $90.38
Quad Per Person - $84.15
Single Per Person - $153.03
Double Per Person - $102.84
Triple Per Person - $83.41
Quad Per Person - $78.33
Single Per Person - $137.91
Double Per Person - $91.21
Triple Per Person - $75.27
Quad Per Person - $70.19
Roommates other than family, complete separate form.
[GUESTS NOT STAYING AT EPWORTH]
$5.57 per person / per day plus meals
Breakfast $10.02; Lunch $16.14; Supper $18.37
Thursday, October 20:
Friday, October 21:
Saturday, October 22:
Sunday, October 23:
Total Amount for Meals: $
PLEASE INCLUDE TOTAL PAYMENT WITH HOUSING FORM.
Make checks payable to Epworth By The Sea
Check Amount: $
Submit Credit Card Information Below:
Credit Card Type
AMX IS NOT ACCEPTED
Name on Card
Amount To Charge: $
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
I Am Authorized
Epworth Cancellation Policy:
FULL REFUND PRIOR TO SEPTEMBER 21, 2022
AFTER SEPTEMBER 21, 2022, ANY INDIVIDUAL CANCELLATION
WILL RESULT IN $50.00 PER PERSON FEE.
CANCELLATIONS WITHIN 72 HOURS OF ARRIVAL WILL FORFEIT ENTIRE PER PERSON CHARGE.
Please submit this form online or you may print and 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, contact Stephanie Sims:
email@example.com or 912-268-4835.
* CONFIRMATION OF YOUR RESERVATION WILL BE EMAILED OR MAILED 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 YOU SUBMIT THIS FORM.