IEBWC Memberships

Membership Application Form
We need a space for Black workers to come together, learn together, analyze what's happening in the economy together and develop solutions together.

Our vision is to create a thriving and equitable community where Black Workers in the Inland Empire region have access to dignified, sustainable employment, fair treatment, and opportunities for economic empowerment.
Member Name *

First NameLast Name
Member Email*
example@example.com
Member Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership County Residence*

RiversideSan BernardinoOther
Phone Number*

Area CodePhone Number

Membership Tiers *

Solidarity Member $25.00

The Solidarity Membership is tailored for workers who embrace the POWER of Solidarity and support the mission of the IEWBC. By joining the worker-led movement that fights for quality jobs, justice, and dignity, Solidarity members demonstrate the strength of collective power.

Quantity

Legacy Member$100.00

The Legacy Membership is designed for workers who exude the POWER of leaving a lasting legacy for future generations. Engaged in advancing the mission of the IEBWC, Legacy members are committed to ensuring that Black workers and their families not only survive but also thrive in the Inland Empire.

Quantity

Community Ally Member $300.00

The Community Ally membership is tailored for businesses and organizations that recognize the essential role of empowered Black Workers in their success. They align with the mission of the IEBWC and understand that when Black Workers thrive, it positively impacts the entire community.

Quantity

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Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Authorization Agreement: Please read and refer to the membership information below, and then type " I AGREE" to signify your agreement with the below-mentioned terms.

I understand and agree to the following terms:
1. The membership fee will be charged annually to the credit card provided.
2. I authorize the Inland Empire Black Worker Center to charge my credit card for the membership dues.
3. I acknowledge that this authorization will remain in effect until I cancel my membership by written notice 30 days before my renewal date or provide a new payment method.
4. I agree to update my payment information promptly if there are any changes or if my credit card expires.
Clicking " I AGREE" below, I confirm that I have read and agree to the terms of this online credit card authorization agreement.
I confirm that I have read and agree to the terms of this online credit card authorization agreement. *

I AGREE
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Membership Application Form