GAHRA Resident Leadership Epworth By The Sea • St. Simons Island, Georgia
October 13 - 15, 2017
Housing Authority Names:  
Address  
City  
State       Zip Code    
Phone  
Email  
Contact Name    
Special Request (Diet, Disability, etc.):
Tax Exempt Rates: Payment must be made with a State of Georgia Check or Credit Card.
~ PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS ~
THESE RATES INCLUDE TAXES
PITTS/BOOTH
ROBERTSON INN
TURNER LODGE
SINGLE PER PERSON  
$281.02
$302.38
$325.32
DOUBLE PER PERSON  
$191.88 each
$205.64 each
$223.98 each
TRIPLE PER PERSON  
$155.80 each
$167.28 each
$187.92 each
QUAD PER PERSON  
$150.38 each
$159.56 each
$171.04 each
THESE RATES ARE TAX EXEMPT:
( MUST PROVIDE A GA STATE SALES TAX & HOTEL MOTEL BED EXCISE TAX FORM ALONG WITH PAYMENT FROM STATE OF GA )
PITTS/BOOTH
ROBERTSON INN
TURNER LODGE
SINGLE PER PERSON  
$256.00
$274.46
$294.96
DOUBLE PER PERSON  
$175.16 each
$187.46 each
$203.86 each
TRIPLE PER PERSON  
$142.74 each
$153.00 each
$171.44 each
QUAD PER PERSON  
$137.80 each
$146.00 each
$156.26 each

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:
3 Digit Security Code:     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 SEPTEMBER 13, 2017
WILL FORFEIT $20 PER PERSON.
Cancellations within 72 hours of arrival will forfeit entire per person charge.
**RESERVATION DUE BY SEPTEMBER 13, 2017.
RESERVATIONS NOT ACCEPTED BY PHONE BUT MAY BE MAILED, FAXED, OR EMAILED TO THE INFORMATION BELOW
Epworth By The Sea
Attn: Kelly Maloy
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to K. Maloy.
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.