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Get UT Chattanooga Athletics Department Donation Request Form

Chattanooga Athletics Department Donation Request Form The University of Tennessee at Chattanooga is proud to assist in the fundraising efforts of charitable organizations. To assist with the processing of your request please complete this form and return it along with a statement of your organization s non-profit 501 c 3 status to the Chattanooga Athletics Marketing Department using one of the following two methods Mail McKenzie Arena Dept. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. Charitable Organization Information Name of Organization Contact Person Phone Fax Email Address City State Zip Item Purpose/Event Information Item s Requested Sport s Purpose for which Item s Requested Is this a fundraising Event Circle One YES NO If yes date of event Brief Description of Event Beneficiary of funds Will these funds raised benefit anyone in 9th grade or above Circle One Acknowledgement of Charitable Organization In accordance with NCAA bylaws The University of Tennessee at Chattanooga is not permitted to participate in fundraising activities that will benefit a prospect-aged student or group Individuals 9th grade or above. By signing below you affirm that you understand the conditions of this donation* Further you accept responsibility for ensuring that the donated item s will be used only in the manner described above. The donated item s may not be given to any prospective student-athlete and the proceeds generated from the donated item s may not be used to benefit any prospect or group of prospects. Name please print Title Signature Date Athletics Dept. Use Only Date Request Received Approved Denied By Date. To assist with the processing of your request please complete this form and return it along with a statement of your organization s non-profit 501 c 3 status to the Chattanooga Athletics Marketing Department using one of the following two methods Mail McKenzie Arena Dept. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. Charitable Organization Information Name of Organization Contact Person Phone Fax Email Address City State Zip Item Purpose/Event Information Item s Requested Sport s Purpose for which Item s Requested Is this a fundraising Event Circle One YES NO If yes date of event Brief Description of Event Beneficiary of funds Will these funds raised benefit anyone in 9th grade or above Circle One Acknowledgement of Charitable Organization In accordance with NCAA bylaws The University of Tennessee at Chattanooga is not permitted to participate in fundraising activities that will benefit a prospect-aged student or group Individuals 9th grade or above. .

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