The University of Memphis

REQUEST FOR AUTHORIZATION
TO SOLICIT FUNDS
BY NON-RESIDENT ORGANIZATIONS

Return form to the office of Business Services, Admin Bldg, Room 371
An event is not officially approved until this form has been returned to the Assistant Vice President for Business Services and has received the final approval of the Vice President for Business and Finance.
Organization Name: Phone:
Officer Responsible: Phone:
Address (line 1):
Address (line 2): 
City:
State:
Zip/Postal Code:
Name of Event: Date:
Locations Desired: Time:  From To
Purpose and Description of Event:
Will an admission fee be charged? yes no  If so, how much?
If not, how will funds be solicited/raised?
For who and/or what activity will the funds be raised or benefit and how? 
Will this activity involve any University activity, department, student organization or employee co-sponsoring this activity? yes no

If yes, please identify and explain:

Approvals:

Assistant Vice President of Business Services
Date
Vice President of Business and Finance
Date
The University of Memphis, one of the Tennessee Board of Regents institutions, is an Equal Opportunity/Affirmative Action University.