DonationXchange - Request Form

Donation Request Form

Organization Info
* Denotes required fields

* Organization Country:
Tax ID :	Zip:

* Organization Name:
Year Established:
* Organization Type:

* Name of Benefit Fund:

(i.e. John Doe Benefit)

* First Name:	Last Name: (i.e. CEO, President, Executive Director, or Development Officer at the Organization)
* Street:	(No PO boxes please)
* City:	State:
* Primary Email:
* Primary Phone:

* Mission Statement:
Website:

Requester Contact Information
* First Name:	Last Name:
* Email Address:
* Primary Phone:
Cell/Other Phone:
* Title/Relationship to Organization:


Organization's Event Details
* Event Name:
* Description:	(Please enter an event description that is not specific to this donor or donation request. You may use the comments below for additional details)
* Event Date:
* Event Location:
* Number of Guests:
* Event Sponsor/Underwriter:	(if no event sponsor/underwriter, please enter N/A)

Request Details

Item Requested:

* Item donated will be used for:

Attach a Document:

Select

Please attach the following documents:
• Certified 501(c)(3) document (Not Tax-Exempt form)
• Documents that describe your event, or any other related document.

(Click on Browse button to attach multiple documents. Files will be uploaded when you click submit. A maximum of three attachments will be saved. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 4MB.)


Referred By: (if applicable)	Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.
Comments:

Address to where item should be mailed (If possible, please provide a commercial mailing address): Mailing address is same as aboveSpecify mailing address below
* Address:	(No PO boxes please)
* City:	State: Zip:
* Country:

13.15.1 Prohibited Expenses. An institution or a representative of its athletics interests shall not offer, provide or arrange financial assistance, directly or indirectly, to pay (in whole or in part) the costs of the prospect's educational or other expenses for any period prior to his or her enrollment or so the prospect can obtain a postgraduate education.

By checking the box, I acknowledge that we are NOT requesting a donation for anyone or that will benefit anyone in grades 9 through 12.

By checking the box, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities. I understand that the organization is under no obligation to fulfill this request. I further understand that the organization reserves the right to request the return of any donated item when these bylaws are not followed.

Click here for NCAA Bylaws Regarding Promotional Activities

*Please Note*
Submission of this request does not guarantee that your request will be fulfilled.
To review the status of your request at any time, please login with your user name and password, which will be emailed to you shortly. Status of requests will not be received over the telephone.
This request system has been implemented to decrease our carbon footprint and to help protect our environment. We appreciate your support. Thank you.

I confirm that I am 14 years or older

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