Weekend Participant Payment Form Name* First Last Email* Enter Email Confirm Email PaymentAmount*Thank you for registering for one of our Woman Within Eastern USA workshop! We’re so glad you’ve taken this step toward your personal growth and deeper connection with yourself and other women. To complete your registration, please select the type of payment you are making using the link below: If you have questions, please email Mary Rago, our Weekend administrator; info@womanwithineasternusa.org. Weekend Deposit - $150 Weekend Remaining Balance - $600 DonationsIf you would like to pay more than the amounts listed, we invite you to visit our Donate & Pay page to make your donation. Thank you!Refund Policy* WWEUSA Refund Policy*There are substantial costs associated with processing registrations for the WWW and other WWE events. If a prospective participant cancels within five days of the WWW, she must request a refund (minus the $150 deposit). The request must be made in writing to the WWE Administrator and is at the discretion of the WWE Board of Directors. Total $0.00 Payment Method* PayPal Zelle (preferred) Venmo Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code When you click "Pay Now" you will be taken to the Pay Pal website to pay. You do not need to have a Pay Pal account. You will just be asked to submit your credit card information. When you click "Pay Now" your application will be submitted and you will be taken to the PayPal website. To submit your payment via Zelle by sending to:treasurer@womanwithineastern.orgPlease include NOTE with "Weekend" along with the weekend location, and participant name.When you click "Pay Now" your application will be submitted and you will be taken to the PayPal website. You can leave the PayPal page and pay with Venmo at https://account.venmo.com/u/WomanWithinEasternUSAPlease include NOTE with "Weekend" along with the weekend location, and participant name.EmailThis field is for validation purposes and should be left unchanged.