GA Addiction Counselors Association
April 2 - 5, 2017
*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.
View Accommodations at:
Please check applicable rate:
Child Rate in room with adult ages 3-12 years: $19.02 per night.
Teen Rate in room with Adult: $43.71 per night
Special Request (Disability, diet, etc.)
Number of Adults in room:
Number of Children in room:
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:
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
Make check payable to Epworth By The Sea.
Discover Amount to Charge: $
Name on Card:
Check here to affirm that I am authorized to make these credit card charges
Epworth Cancellation Policy:
Full payment due with reservation by March 18, 2017.
Any cancellation after March 24, 2017 will result in forfeiture of $20.00 per person.
Any cancellation within 72 hours of arrival will result in forfeiture of entire per person charge.
Please submit this form online, print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
ATTN: Lori Strande
P. O. Box 20407
St. Simons Island, GA 31522
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 SENT TO YOU *
This form is for Epworth By The Sea ONLY.