Association of Reformed Baptist Churches
Housing Form for Epworth By The Sea
April 23 - 28, 2017 • Epworth By The Sea
Your Name  
Address  
City  
State       Zip Code    
Phone         Email    
Special Request (Disability, etc.)  
Number of adults in room:       Names:
Number of children in room ages 3-12:       Number of teens in room:  
I am paying for: how many adults?        how many children?        how many teens?   
My room is being paid for by:
Arrival Date:       Departure Date:  
Name of Your Church:  
*Room Registration is per person per night and includes meals beginning with supper on day of arrival and goes through lunch on day of departure and all taxes.
~ PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS ~
  BUILDING:
1 ADULT PER ROOM PER NIGHT
2 ADULTS PER ROOM PER NIGHT PER PERSON
3 ADULTS PER ROOM PER NIGHT PER PERSON
4 ADULTS PER ROOM PER NIGHT PER PERSON
  TURNER LODGE:   $158.07   $108.55 EACH   $91.66 EACH   $83.22 EACH
  ROBERTSON INN:   $147.74   $99.37 EACH   $82.49 EACH   $79.89 EACH
  PITTS/BOOTH:   $135.14   $92.49 EACH   $75.67 EACH   $72.90 EACH
  Child Rate in room with Adult, Ages 3-12: $19.02 per night   Teen Rate in room with Adult: $43.71 per night
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
Make check payable to Epworth By The Sea.
Check #    Amount $   
OR
Charge to:   Visa        MasterCard        Discover      Amount to Charge: $
Card Number:        Expiration Date:
Name on Card:       
 Check here to affirm that I am authorized to make these credit card charges
Online reservations must be paid for by credit card only
Epworth Cancellation Policy: Any cancellations after March 23, 2017 will result in forfeiture of $40.00 per person.
Any cancellation within 72 hours of arrival will result in forfeiture of entire per person charge
**All rooms are non-smoking, reservations not accepted by phone but may be mailed, faxed, or emailed to the information below
Epworth By The Sea
Attn: Lori Strande
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to lstrande@epworthbythesea.org.
No phone reservations accepted.
No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m.
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
This form is for Epworth By The Sea ONLY.