Sponsorship Commitment Form
Sponsorship Goal: Raise $250,000 by December 2026
Select your suggested giving option:
Please Select
It Takes an Army Supporter - $25/$50/$75/$100
Soldier Sponsor - $125 to $250
Community Friend Sponsor - $1,000+
Bronze Support Sponsor - $2,500+
Silver Service Sponsor - $5,000+
Champion - 1 Year
Monthly Giving Option:
Custom Sponsorship Amount:
You can input an amount below for monthly or custom
Company/Organization Name
Individual Sponsorship Name (if applicable)
Contact Person
First Name
Last Name
Title/Position
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Website
Preferred Recognition Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Method Selection
Check (Make checks payable to: Empowerment Clinical Counseling & Evaluations LLC
CashApp - $DrMekaECCE (Please include sponsor name, sponsorship level, and "Veteran Initiative" in payment notes. ie: ABC Consultant-Gold Sponsor-Veteran Initiative)
Zeffy
Giving Frequency
One-Time Sponsorship
Monthly Support
Custom Giving Schedule:
Acknowledgment & Authorization
I understand this form records my sponsorship commitment or monthly giving pledge and that payment must be completed separately by check, CashApp or Found
I understand sponsorship contributions may not be tax-deductible unless processed through eligible nonprofit or fiscal sponsor
I authorize Butler Barracks/Veterans Village and Empowerment Clinical Counseling & Evaluations LLC to contact me regarding this sponsorship commitment
Sponsor Authorization
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Additional Comments/Questions:
Contact Information
Butler Barracks/Veterans Village Initiative Dr. Meka Butler, DHA, LCPC, LPC Founder & Executive Counseling & Evaluations LLC email: Dr.Meka@DrMeka-ECCE.org Website: www.ButlerBarracks.org
Submit
Submit
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