EPWORTH BY THE SEA
Rogers Family Reunion
Housing Reservation Form

August 11 - 13, 2017

A SECURED PAGE FOR EPWORTH BY THE SEA
Your Name
Address
City
State     Zip Code    
Daytime Phone       Email    
Roommate(s) Name       No. Participants in Room  
Roommates: Please complete separate forms
I am paying for how many people?    My room is being paid for by:
Special Request       (Disability, diet, etc.)
Arrival Date       Departure Date
FULL PAYMENT REQUIRED: PLEASE MAIL, FAX OR SCAN AND E-MAIL WITH FULL PAYMENT NO LATER THAN JULY 11, 2017(FAX AND SCAN MUST HAVE CREDIT CARD # FOR PAYMENT) TO EPWORTH BY THE SEA, P.O. BOX 20407, ST. SIMONS ISLAND, GA 31522. RESERVATIONS WILL NOT BE ACCEPTED BY TELEPHONE. MAKE CHECKS PAYABLE TO EPWORTH BY THE SEA (PREFERRED PAYMENT METHOD) OR CHARGE TO MASTER CARD/VISA/DISCOVER
ALL CONFERENCE PARTICIPANTS AND THEIR GUESTS STAYING AT EPWORTH WILL BE REQUIRED TO HAVE THE MEAL PLAN. NO CREDIT WILL BE GIVEN FOR MISSED MEALS. CONFERENCE PARTICIPANTS AND GUESTS WILL HAVE A NAME TAG TO IDENTIFY THEM FOR THE MEAL PLAN.
RATES ARE BASED ON TOTAL NUMBER OF ADULTS STAYING IN THE ROOM. CHILDREN/TEENS WILL BE AN ADDITIONAL CHARGE FOR MEALS AND THE RATE WILL BE ADDED TO ROOM CHARGES. RATES ARE PER PERSON INCLUDING 2 NIGHTS LODGING, 6 MEALS (FRIDAY SUPPER-SUNDAY LUNCH), AND APPLICABLE TAXES.
LODGING
SINGLE
OCCUPANCY
DOUBLE
OCCUPANCY
TRIPLE
OCCUPANCY
QUAD
OCCUPANCY
PITTS/BOOTH MOTELS
$281.02
PER ADULT
1 PER ROOM
$191.88
PER ADULT
2 PER ROOM
$155.80
PER ADULT
3 PER ROOM
$150.38
PER ADULT
4 PER ROOM
3-12 YEARS OLD - $38.40 PER CHILD
(STAYING IN ROOM WITH ADULT)
   NO. CHILDREN IN ROOM  
13-18 YEARS OLD - $88.24 PER TEEN
(STAYING IN ROOM WITH ADULT)
   NO. TEENS IN ROOM  
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:
3 Digit Security Code:     Zip Code of Billing Address:
Name on Card:       
 Check here to affirm that I am authorized to make these credit card charges
Cancellation Policy:
If you cancel reservation on or before 4pm JULY 11, 2017, a full refund will be issued.
Any cancellation after this date will forfeit first night's rate.
Please submit this form online, print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Email: epworth@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 SENT TO YOU *
This form is for Epworth By The Sea ONLY.