Circle of Empowerment Membership Pledge Form

MEMBERSHIP TYPE & RECOGNITION

All Circle of Empowerment pledges are nonbinding.
Please indicate if this is an INDIVIDUAL or a CORPORATE pledge.(Required)
Please enter a number greater than or equal to 2024.
Individual Example: Mr. & Mrs. John & Jane Smith.
Corporate Example: Main Street Bank & Trust

CONTACT INFORMATION

Name(Required)
Address(Required)

CIRCLE OF EMPOWERMENT ANNUAL PLEDGE AMOUNT

Please indicate your total Circle of Empowerment annual pledge amount below.

GIFT ALLOCATION

You may allocate you gift to one or several initiatives. Please indicate below how you would like us to allocate your annual Circle of Empowerment gift.
Allows EPI to direct support to the greatest area of need
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
SPONSORSHIP LEVELS: Presenting: $5,000 | Marathon: $3,000 | Endurance: $ 2,500 | Sprint: $2,000 | Trot: $1,500 | Jog: $1,000 | Walk: $500
SPONSORSHIP LEVELS: Presenting Sponsor -$10,000.00 | Iron Sponsor – $5,000.00 | Ultra Sponsor – $2,500.00 | Extreme Sponsor – $1,000.00 | Marathon Sponsor – $500.00
Donor’s Discretion
Donor’s Discretion
Donor’s Discretion
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
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
SPONSORSHIP LEVELS: Presenting: $5,000 | Marathon: $3,000 | Endurance: $ 2,500 | Sprint: $2,000 | Trot: $1,500 | Jog: $1,000 | Walk: $500
Donor’s Discretion
Donor’s Discretion
Donor’s Discretion