| Your Name ||
Rates are per person based on number of adults in room and include 2 nights, 6 meals, tax and the state of Georgia motel fee.
View Accommodations: epworthbythesea.org/accommodations|
Please check applicable rate:
|Roommate Request: |
Roommates other than family, complete separate form.
|Special Request (Disability, diet, etc.) |
Departure Date |
|Number of Adults in room:
I am paying for how many people? |
My room is being paid for by:
|FULL PAYMENT DUE WITH RESERVATION. |
Make check payable to Epworth By The Sea. |
Check # Amount: $
Discover Amount to Charge: $
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
|Epworth Cancellation Policy:
Full refund prior to September 26, 2018.
After September 26, 2018, any individual cancellation will result in forfeiture of $50.00 per person.
Cancellations within 72 hours of arrival will forfeit full charges.
| 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: firstname.lastname@example.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.