Charitable Donation Request Form printable pdf download

RUTGERS ATHLETICS

CHARITABLE DONATION REQUEST FORM

Please complete the information below. You must be an authorized representative of the requesting agency/organization/school to

submit this request. Please note the following:

-Submitting a form does not guarantee the request will be fulfilled

-A letter on your organization's official letterhead must also be submitted with this form

-Requests must be received at least eight weeks prior to the date of activity

- Items donated are based on availability and the discretion of Rutgers Athletics

-FORMS NOT FULLY COMPLETED WILL NOT BE CONSIDERED- PLEASE PRINT CLEARLY AND LEGIBLY

Contact Name: _______________________________________________ Phone: ______________________________________

Email: ______________________________________________________ Fax: ________________________________________

Name of Organization/Charity: __________________________________ Name of Event: _______________________________

Date of Event: _________________________________ Age Group Proceeds Will Benefit: ______________________________

If the item is to be used for an auction, please provide detailed information regarding where the proceeds will go (i.e. purpose of charity,

etc.)

___________________________________________________________________________________________________________

Where to Send Donation

Name: ____________________________________________________________________________________________________

Address: __________________________________________________________________________________________________

City: ______________________________________________________________ State: ____________ Zip: __________________

If you are approved to receive your requested item, you must agree to the following guidelines:

The item shall not be loaned, donated, sold or otherwise transferred to a high school (9th-12th grade), prep school, junior

college, or any other group consisting of prospective student-athletes, any staff member of such an institution (i.e.

coach, athletic director, principal, etc.) or group; any parent or guardian of a student of these institutions or groups;

or, any booster organization of such an institution or group.

The item shall not be sold, auctioned or traded at any other event besides the event named above without the consent of

Rutgers Athletics.

Rutgers Athletics reserves the right to request the return of any item.

By signing this form I agree to the aforementioned guidelines and understand that Rutgers University may take legal action should

these guidelines be violated.

______________________________________________

_________________

Signature of Requestor/Recipient of Item

Date

Submit this form, along with a request on your organization's official letterhead to:

Rutgers Sports Marketing Office

Attn: Donation Requests

Louis Brown Athletic Center

83 Rockafeller Road

Piscataway, NJ 08854

Phone: 732-445-3342

Fax: 732-445-3862

*****************************************************************************************************************************************************

For Athletic Department use Only:

Request Approved ____ Request Denied _______ If denied, reason:

Marketing Department Authorization: ________________________________________________________________________

Office of Compliance Authorization: ________Approved _______Denied

Comments_________________________________

Charitable Donation Request Form

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