Athletics - UNLV

Donation Request

This form, when signed by the promotional agency involved and approved by the Athletic Department, allows athletics staff members of UNLV to autograph memorabilia for institutional, charitable or other educational agencies' events or to provide tickets to competitions.

Please email supporting documentation (event flyer, invitation, information sheet, etc.) directly to UNLVCompliance@unlv.edu. This will help to expedite your request through the review process.

UNLV is unable to provide memorabilia for autographs.
The requester must supply the item.

Name of Sponsoring Agency

Agency Description (check one):
Institutional
Charitable
Educational


Memorabilia Autograph Request
Ticket Request
Sport Involved:
Dates of Comp:

Name of Contact Person

Phone Number and Email Address

Address

Date of Event

Please describe your event:

NCAA regulations preclude its members from participating in or providing memorabilia for fundraising activities that either directly or indirectly benefit any student who has started the ninth grade (in Men's Basketball seventh grade).

1. Is this a fundraising event?
Yes
No

2. Will the funds raised from the event directly or indirectly benefit prospects? If yes, UNLV or its representatives may not participate in the event. If no, explain the use of funds:
Yes
No

3. Will the event involve students who have started the ninth grade?
Yes
No

4. Will the event involve students who have started the seventh grade?
Yes
No

Please print or type the names of the preferred autographs you would like on the memorabilia. If requested student-athletes are unavailable, would substitutes from that sport suffice?
Yes
No

1. Name   Sport

2. Name   Sport

3. Name   Sport

4. Name   Sport

I certify that this memorabilia or these tickets will not be used to benefit any person that is of prospect age.
Signature of authorized representative
Date

 
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