Sponsorship Request Form 2019

Sponsorship Request Form
Approval Status*
Approved - This sponsorship meets the criteria to receive gift credit in ANDI

Denied - This sponsorship does NOT meet the criteria to receive gift credit in ANDI
Comments
Date

MonthDayYear
Legal Representative's Signature
Sender Name
Sender Email
example@example.com
Name of Event/Program
Date of Event

MonthDayYear
Department Name*
Campus

UTCUTHSCUTIAUTKUTMUTS
Department Representative Name*

First NameLast Name
Department Representative Email*
Department Representative Phone

Area CodePhone Number
Donor/Sponsor Name*
Individual or Company Contact Person
Donor ANDI ID
If an ANDI record needs to be created for the sponsor, enter "0"
Amount Collected
Dollar Amount
Market Value of Quid Pro Quo
Dollar Amount
Account/Allocation to Credit Quid Pro Quo Portion
Ex: JOHNS_01 or S010021590
Net Gift Portion
Amount Collected - Market Value of Quid Pro Quo
Account/Allocation to Credit Net Gift Portion
Ex: JOHNS_01 or S010021590
Attach a Copy of Any Promotional Materials

Browse Files
You may upload a single file to this form. If you have multiple files, please email them to cmr@utfi.org. Cancelof
Items/Benefits Received by the Donor/Sponsor
Link to Company's Website
If the sponsor is a corporation or organization, please include a link to their website.
Date*

MonthDayYear
Department Representative Signature*

Clear
Should be Empty: