Kim Mulkey Autograph Requests

Is this request for an established non-profit organization (You will be required to provide proof of non-profit status upon completion of your order)?

What item would you like autographed?

Basketball - $75

Picture - $20

Established Non Profit

Yes

Does the auction involve a high school organization, high school fundraising event or benefit high school aged individuals (grades 9 – 12)?

Benefit HS Aged Individuals

First Name

Last Name

Email Address*

Phone

Name of Organization

Address 1

Address 2

City

State or Province

Zip or Postal Code

Country

Reason the item is being requested *

Tax Exempt #

501c Required

Is this event/project for fundraising purposes?

Proceeds from the event/project will be used for

Will high school-age students (9th-12th grades) benefit from the sale/auction?

Information about the event is being e-mailed to autographs@lsu.edu

Date of Event