Autograph/Donations Request Form
Submit by Email
Autograph/Donations Request Form
Print Form
Montana State items may NOT be used in fundraising events for ANY high school organization, high school fundraising event or ANY high school or prospect-aged individual (high school is defined as grades 9-12).
General Information Organization Name
Website (if applicable)
Contact Name:
Phone
Delivery Address
City
Email State
Do you want the item mailed (expenses not provided by MSU athletics?)
Yes
Zip
No
If No, date you plan to pick it up: Organization will Benefit: Grades K-8 or younger
Grades 9-12
Adults
Not Applicable/Personal Use
Organization Type Nonprofit/charitable
Educational/Scholastic
Personal
Other (please describe)
Institutional (MSU organization, fraternity/sorority, etc)
Requested Item and Purpose AUTOGRAPHED ITEMS These items are available, but payment must be received with this form. Signed Ball (FB, VB, BB) $100.00 For what type of activity would this item be used? Will money be raised?
Yes
No
Where will the proceeds go?
Exactly what will the proceeds be used for? Date & Location of the event (if applicable) Will there be any commercial sponsorship or co-sponsorship for this event?
Yes
No
If yes, how will the commercial entity be involved? Will there be any advertising or promotion by a commercial agency?
Yes
No
If for medical expenses for an individual: Is he/she a high school coach?
Yes
No
Is MSU recruiting any immediate family members?
Yes
No
Does the individual reside in the state of Montana?
Yes
No
Is there a reasonable expectation of possible future participation in intercollegiate athletics?
Yes
No
By signing this form, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities. I understand that Montana State University is under no obligation to fulfill this request. I further understand that Montana State University reserves the right to request the return of any donated/autographed item when these bylaws are not followed. This item will be used in the manner as requested above. I understand that any other use may result in an NCAA penalty or may affect student-athlete eligibility. BOBCAT ATHLETICS Date
Signature of Requestor Printed Name
Updated 6/2013
Date
Compliance
Bobcat Club
Date
Sr. Assoc. AD
Date
12.5.1 Required?
Fee Waived?
No
Yes (must be attached)
Submit by Email
Guidelines for Autographed Items
Print Form
If you are approved to receive an autographed item from Montana State University Athletics, you must agree to the following to protect the integrity of the University and the eligibility of Bobcat student-athletes: A.The autographed item shall not be loaned, donated, sold or otherwise transferred to a high school, prep school or junior college: 1 - staff member (e.g. coach, athletic director, principal etc.), 2 - any parent or guardian of a prospective student-athlete, or 3 - any booster organization of said institution. B. The autographed item shall not be sold, auctioned or traded without the consent of the Montana State University Athletic Department. C. Should you receive an autographed item and approval to sell it, you must complete an “Autographed Item Owner Transfer Form.” This form must be completed and signed by the new owner, prior to the completion of the sale of the item. A copy must then be returned to Bobcat Athletics. This form will be provided if Montana State Athletics is able to fulfill the donation request. By signing this form, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities AND the guidelines regarding autographed items. I understand that Montana State University is under no obligation to fulfill this request. I further understand that Bobcat Athletics reserves the right to request the return of any donated autographed item when these bylaws and guidelines are not followed. Signature of Activity Representative
Date
Autograph/Donations Request Form
Print Form
Montana State items may NOT be used in fundraising events for ANY high school organization, high school fundraising event or ANY high school or prospect-aged individual (high school is defined as grades 9-12).
General Information Organization Name
Website (if applicable)
Contact Name:
Phone
Delivery Address
City
Email State
Do you want the item mailed (expenses not provided by MSU athletics?)
Yes
Zip
No
If No, date you plan to pick it up: Organization will Benefit: Grades K-8 or younger
Grades 9-12
Adults
Not Applicable/Personal Use
Organization Type Nonprofit/charitable
Educational/Scholastic
Personal
Other (please describe)
Institutional (MSU organization, fraternity/sorority, etc)
Requested Item and Purpose AUTOGRAPHED ITEMS These items are available, but payment must be received with this form. Signed Ball (FB, VB, BB) $100.00 For what type of activity would this item be used? Will money be raised?
Yes
No
Where will the proceeds go?
Exactly what will the proceeds be used for? Date & Location of the event (if applicable) Will there be any commercial sponsorship or co-sponsorship for this event?
Yes
No
If yes, how will the commercial entity be involved? Will there be any advertising or promotion by a commercial agency?
Yes
No
If for medical expenses for an individual: Is he/she a high school coach?
Yes
No
Is MSU recruiting any immediate family members?
Yes
No
Does the individual reside in the state of Montana?
Yes
No
Is there a reasonable expectation of possible future participation in intercollegiate athletics?
Yes
No
By signing this form, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities. I understand that Montana State University is under no obligation to fulfill this request. I further understand that Montana State University reserves the right to request the return of any donated/autographed item when these bylaws are not followed. This item will be used in the manner as requested above. I understand that any other use may result in an NCAA penalty or may affect student-athlete eligibility. BOBCAT ATHLETICS Date
Signature of Requestor Printed Name
Updated 6/2013
Date
Compliance
Bobcat Club
Date
Sr. Assoc. AD
Date
12.5.1 Required?
Fee Waived?
No
Yes (must be attached)
Submit by Email
Guidelines for Autographed Items
Print Form
If you are approved to receive an autographed item from Montana State University Athletics, you must agree to the following to protect the integrity of the University and the eligibility of Bobcat student-athletes: A.The autographed item shall not be loaned, donated, sold or otherwise transferred to a high school, prep school or junior college: 1 - staff member (e.g. coach, athletic director, principal etc.), 2 - any parent or guardian of a prospective student-athlete, or 3 - any booster organization of said institution. B. The autographed item shall not be sold, auctioned or traded without the consent of the Montana State University Athletic Department. C. Should you receive an autographed item and approval to sell it, you must complete an “Autographed Item Owner Transfer Form.” This form must be completed and signed by the new owner, prior to the completion of the sale of the item. A copy must then be returned to Bobcat Athletics. This form will be provided if Montana State Athletics is able to fulfill the donation request. By signing this form, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities AND the guidelines regarding autographed items. I understand that Montana State University is under no obligation to fulfill this request. I further understand that Bobcat Athletics reserves the right to request the return of any donated autographed item when these bylaws and guidelines are not followed. Signature of Activity Representative
Date
