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)

Arrival Date: * +

Departure Date: * +

Male

Female

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

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:

Turner Lodge
(SOLD OUT)

Robertson Inn
(SOLD OUT)

Pitts/Booth

Reynolds

Roommate Request:
Roommates other than family, complete separate form.

COMMUTERS:
[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:

Supper

Friday, October 21:

Breakfast

Lunch

Supper

Saturday, October 22:

Breakfast

Lunch

Supper

Sunday, October 23:

Breakfast

Lunch

Total Amount for Meals: $

PLEASE INCLUDE TOTAL PAYMENT WITH HOUSING FORM.
Make checks payable to Epworth By The Sea

Check #:

Check Amount: $

Submit Credit Card Information Below:

Credit Card Type

Name on Card

Amount To Charge: $

CARD NUMBER:

Expiration Date (mm/yy)

3 Digit Security Code:

Billing Address Zip Code:

I am authorized to make these credit card charges:

I Am Authorized

NA

Today's Date: +

Signature

clear

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:
ssims@epworthbythesea.org 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.

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)

Rates are per person, per night, and include lodging, meals, tax& State of Georgia motel fee.PLEASE CHECK APPLICABLE RATE:

COMMUTERS: [GUESTS NOT STAYING AT EPWORTH]$5.57 per person / per day plus mealsBreakfast $10.02; Lunch $16.14; Supper $18.37

PLEASE INCLUDE TOTAL PAYMENT WITH HOUSING FORM.Make checks payable to Epworth By The Sea

Submit Credit Card Information Below:

Epworth Cancellation Policy: FULL REFUND PRIOR TO SEPTEMBER 21, 2022AFTER SEPTEMBER 21, 2022, ANY INDIVIDUAL CANCELLATIONWILL RESULT IN $50.00 PER PERSON FEE.CANCELLATIONS WITHIN 72 HOURS OF ARRIVAL WILL FORFEIT ENTIRE PER PERSON CHARGE.

*PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE YOU SUBMIT THIS FORM.

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)

Rates are per person, per night, and include lodging, meals, tax
& State of Georgia motel fee.
PLEASE CHECK APPLICABLE RATE:

COMMUTERS:
[GUESTS NOT STAYING AT EPWORTH]
$5.57 per person / per day plus meals
Breakfast $10.02; Lunch $16.14; Supper $18.37

PLEASE INCLUDE TOTAL PAYMENT WITH HOUSING FORM.
Make checks payable to Epworth By The Sea

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.