Office of Athletics Compliance
PROMOTIONAL ITEM REQUEST FORM Sports other than Football or Men's Basketball Please return to the Office of Athletics Compliance four weeks prior to activity. Send to the attention of: Sharlene Latsey by email
[email protected] or fax 405-744-7500 Forms that are not completely filled out will not be considered for approval. For any questions please call 405-744-7862 Your Name: ________________________________ Address: __________________________________
Phone:
__________________ E-mail: ____________________
City, State, Zip: ____________________________________
Name of Organization: _________________________________________ Your Organization:
_____ _____ _____ _____ _____
Fax: ___________________________
Educational Agency (other than grades 7-12 or junior college) Non-Profit/Charitable Agency** OSU Organization; e.g.sorority, student government NCAA School, Conference Other:_______________________________________
**Documentation of non-profit status must accompany this form.
For more information on requesting a Football or Men's Basketball please visit http://www.okstate.com/sports/2015/3/17/GEN_2014010178.aspx?path=compliance Item being requested: ______________________________________________________________________________ (Organizations are limited to one item per year. You must contact the sport(s) to see if you have to provide item.) Description of Promotional/Fund Raising Activity (Attach copy of flyer, if available): __________________________________________________________________________________________________ Date of Activity: __________________
City and Site of Activity:__________________________________
Who does this activity benefit? ______________________________________________________________________ Will there be any outside organization involved in this activity? Yes _____ No______ If yes, whom: ______________________________________________________________________ *Completion of form serves as NCAA rules Compliance approval only, it does not guarantee accommodation. Upon approval from Compliance you will be required to contact the sport you are interested in for requested item. X__________________________________________
___________________________
Signature of Organization's Representative
Date
Oklahoma State Office of Athletics Compliance Use Only _____Permissible Activity based on NCAA Guidelines
___________________________________________ Office of Athletics Compliance Approval
Form 4.05
_____ Not permissible due to NCAA Guidelines
___________________________ Date