| Your Name ||
|| State Zip
*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: epworthbythesea.org/accommodations|
Please check applicable rate:
Check box if Roommate will pay separately |
|Special Request (Disability, diet, etc.) |
Departure Date |
|Number of Adults in room: |
|Number of Children in room: |
|Number of Teens in room: |
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATIONS.
If you have a roommate paying separately, a separate Reservation Form must be filled out and submitted ON THE SAME DAY.
Make check payable to Epworth By The Sea. |
Check # Amount: $
* Charge to:
Discover Amount to Charge: $
|* If you are paying with a State of Georgia credit card and will be tax exempt,|
please fill out the Purchase Order Credit Card Authorization Form below.
Expiration Date: |
|Name on Card:
|CVV Code: Billing Address Zip Code:
| Check here to affirm that I am authorized to make these credit card charges
|Epworth Cancellation Policy:
Full payment due with reservation by April 13, 2018.
Any cancellation after April 13, 2018 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
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to: email@example.com,
|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.