WRITING THE WILD Registration

Register

To register for Writing the Wild, submit the form below AND pay through PayPal.

We are unable to secure your spot without payment.

You may in full through PayPal or request a payment plan when you register. If you request a payment plan, please pay the first month’s payment (10% of the full registration cost) in order to secure your spot.

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Payment

Sliding Scale

Enter your payment amount below. You may choose to pay what you are able within the sliding scale ($3900-5000). If you request a payment plan, the amount you enter will determine your monthly billing (via PayPal).

How will you submit payment?