promotional item request form

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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