Payment Plan Request Form | Women On The Wall

We’d love to see you at our Jamaica Retreat. Please use this form to request a custom payment plan.

Please enter all information in the fields below. If a field does not apply to you, please enter "na" or "0" where applicable. Please note the custom payment plan only includes the WOTW package offered at registration which includes the room at the resort, the WOTW retreat events and transportation to and from the resort. The plan does not include flights, travel insurance, etc. Please also note submission of this form does not guarantee a custom payment plan will be offered to you.

First name

Last name

Phone

Address

Which room are you interested in?

How many rooms are you interested in?

How many in your group?

How many adults (age 13-adult)?

How many children under 3 years old?

How many children between 3 and 12 years old?

Will you be solely responsible for payments?

Yes

Can you make an initial deposit equal to 1 night stay for each room?

Yes

Thanks! A member of our team will review and send you a response via email shortly.