WBEC-East 2025-26 Payment Form

Payment Form

Use this form to make credit card payments to WBEC-East.
Company Name*
Your email address (so we can send you a receipt)*
example@example.com
Credit Card
Description of the payment*
Please reference the list of examples below
Enter the amount of your payment below. If you are unsure of your amount due, contact WBEC-East at info@wbeceast.com or refer to invoice, if applicable. Examples of current fees below:

WBENC Certification:
- Please enter your balance due
Workshops and Consulting:
- Business Coaching Session (enter your balance due)
- FastTrac Payment Plan (enter your balance due)
Donations & Sponsorships:
- FastTrac Scholarship Donation ($325)
- WBE Sponsorship- Bronze ($750)
- WBE Sponsorship- Silver ($1,500)
- WBE Sponsorship- Gold ($2,500)
- WBE Sponsorship- Platinum ($3,500)
Corporate Dues & Sponsorships:
- Council Membership Dues ($3,500)
- Council Non-Profit Dues ($2,500)
- Corporate Sponsorship- Bronze ($3,000)
- Corporate Sponsorship- Silver ($5,500)
- Corporate Sponsorship- Gold ($8,000)
- Corporate Sponsorship- Platinum ($10,500)
Please send check to:

WBEC-East 123 S.Broad Street, Suite 500
Philadelphia, PA 19109

Total Payment:*

USDThank you for your payment! If you are making a donation or sponsorship payment, please consider making your donation more impactful by adding the 3% credit card processing fee (Example: $100 X .03% or 3.00 = $3.00 | adjusted total would be $103.00)

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please verify that you are human*
Should be Empty: