Circle of Empowerment Commitment Form

MEMBERSHIP TYPE & RECOGNITION

Please indicate if this is an INDIVIDUAL or a CORPORATE pledge.(Required)

CONTACT INFORMATION

Name(Required)
Address(Required)

CIRCLE OF EMPOWERMENT ANNUAL PLEDGE AMOUNT

Please indicate your total Circle of Empowerment annual commitment below. EPI will send monthly pledge reminders and payment in full is due by the end of each calendar year.

GIFT ALLOCATION

Please indicate how you would like us to allocate your annual Circle of Empowerment gift.
SPONSORSHIP LEVELS: Presenting: $10,000 | Cake: $5,000 | Chocolate: $3,000 | Cupcake: $2,500 | Frosting: $1,500 | Cocktail: $1,500 | Entertainment: $1,500 | Sprinkle: $500
$200 per ticket
Donor's discretion.
SPONSORSHIP LEVELS: Presenting: $5,000 | Gold: $2,500 | Silver: $1,000 | Bronze: $500
SPONSORSHIP LEVELS: Presenting: $5,000 | Marathon: $3,000 | Endurance: $ 2,500 | Sprint: $2,000 | Trot: $1,500 | Jog: $1,000 | Walk: $500
REGISTRATION FEES: Ages 13+: $26 | Children 3-12: $13 | Children under 3: Free
Donor's Discretion