PAYMENT PLAN APPLICATION

Once your application is received and accepted, we will be send you PayPal link prompting you to set up your payment plan which will be automatically withdrawn each month. You must submit your first payment as a deposit in order to register. When we receive your first payment we will send you an email with a code to complete your registration through our website.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Please indicate the dates and location of the event you would like to attend?

I confirm that by applying for a payment plan, I am committed to paying the full Immersion price. I will make my payments on, or before, the due dates and on a monthly basis until the total balance is paid. I understand that there is a $25 late fee for any overdue payments.

Yes

We welcome all people to participate; all colors, all genders, all sexual orientations, all national origins, all ages (15+), all abilities, all religions, all IDENTITIES ARE WELCOME.