MEALS OPTION ONLY
June 4 - 8, 2018 Epworth By The Sea
Please check all meals you plan on eating at Epworth By The Sea,
then enter the total based on the following rates:
Breakfast - $9.27 + tax = $9.92
Lunch - $12.36 + tax = $13.23
Supper - $14.42 + tax = $15.43
PLEASE INCLUDE FULL PAYMENT WITH REGISTRATION.
Make check payable to Epworth By The Sea.
Discover Amount to Charge: $
Name on Card:
Zip Code of Billing Address:
Check here to affirm that I am authorized to make these credit card charges
Full refund on or before May 15, 2018; after May 15 first night's rate is not refunded.
Any cancellations made after June 1, 2018 will forfeit entire rate.
Any date changes made to reservations after June 1, 2018 will not be refunded.
**ALL ROOMS ARE NON-SMOKING. RESERVATIONS NOT ACCEPTED BY PHONE BUT MAY BE MAILED, FAXED, OR EMAILED TO THE INFORMATION BELOW
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to
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.
PURCHASE ORDER CREDIT CARD AUTHORIZATION FORM
*Credit Cards must be issued by the State of Georgia. State issued credit cards are tax exempt. Sales tax and hotel/motel tax exemption forms must accompany this form. Associations, booster clubs and personal methods of payments are not tax exempt.
CREDIT CARDHOLDER INFORMATION:
NAME ON CREDIT CARD:
TYPE OF CREDIT CARD:
AUTHORIZED USER OF CREDIT CARD:
RELATION TO OWNER:
TYPE OF CHARGES:
AUTHORIZED AMOUNT: $
DATES OF CHARGES:
AUTHORIZATION OF CARD USE:
I certify that I am the authorized holder and signer of the credit card referenced above.
I certify that all information above is complete and accurate.
I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the "AUTHORIZED AMOUNT" field. I understand this is only for up to this amount during the time period of "DATES OF CHARGES" referenced above. If additional charges are going to be authorized a new form will have to be completed.