Georgia Housing Authority
Leadership Conference
Epworth By The Sea • St. Simons Island, Georgia
July 14 - 16, 2017
Housing Authority Names:  
Address  
City  
State       Zip Code    
Phone  
Email  
Contact Name    
Tax Exempt Rates: Payment must be made with a State of Georgia Check or Credit Card.
~ PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS ~

PITTS/BOOTH
ROBERTSON INN
TURNER LODGE
SINGLE PER PERSON  
$256.00
$274.46
$294.96
DOUBLE PER PERSON  
$175.16
$187.46
$203.86
TRIPLE PER PERSON  
$142.74
$153.00
$171.44
QUAD PER PERSON  
$137.80
$146.00
$156.26
Rates include lodging and meals.
Go to www.EpworthByTheSea.org for more lodging information.
I am paying with a check
Make checks payable to Epworth By The Sea.
Check #    Amount: $   
I am mailing my check
OR
I will pay by check on arrival
OR
I am paying with a credit card indicated below.
Charge to:   Visa        MasterCard        Discover      Amount to Charge: $
Card Number:        Expiration Date:
Zip Code of Billing Address:
Name on Card:       
Total Number of Rooms:        Total Number of People:
 Check here to affirm that I am authorized to make these credit card charges
    Rooming List: We do not need all the names in each room at this time.
    We DO need One Onsite Contact Person AND the number of people in each room - EX. - 2 rooms with 3 people / 4 rooms with 2 people)
    We will send you a confirmation reflecting the total amount due or charged on credit card.
Onsite Contact:
Room 1: # People  
Room 6: # People  
Room 2: # People  
Room 7: # People  
Room 3: # People  
Room 8: # People  
Room 4: # People  
Room 9: # People  
Room 5: # People  
Room 10: # People  
Epworth Cancellation Policy:
ANY CANCELLATIONS MADE AFTER 4PM JUNE 14, 2017
WILL FORFEIT $20 PER PERSON.
Cancellations within 72 hours of arrival will forfeit entire per person charge.
**RESERVATION DUE BY JUNE !4, 2017.
RESERVATIONS NOT ACCEPTED BY PHONE BUT MAY BE MAILED, FAXED, OR EMAILED TO THE INFORMATION BELOW
Epworth By The Sea
Attn: Renthis Lewis
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to R. Lewis.
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.