Make a Payment – East Tennessee Economic Council

Use this form to make a payment for items or services other than membership dues.

Company Name

Primary Contact(Required)

First Last

Primary Email(Required)

Phone

Cell

Organization Address (field labels are underneath the boxes)

Street Address Address Line 2 City State ZIP Code

Payment for(Required)

Tell us what this payment is for so that we can apply the payment to correct account. Example: meeting sponsorship for May 2022

Payment Amount(Required)

Please enter payment amount here.

Credit Card

Card Details

Cardholder Name

Total Payment