AUTOGRAPH REQUEST FORM
The Anthony Muñoz Foundation is pleased to facilitate your request for an Anthony Muñoz autograph. Please
complete the following application and either mail or fax it to:
Anthony Muñoz Foundation, 8919 Rossash Road, Cincinnati, OH 45236· 513-772-4911 (fax)
Upon receipt of all requested materials, an AMF representative will contact you to discuss the status of your request.
The AMF has established the following guidelines for autograph requests.
1. The requestor must provide the item. The AMF limits one (1) item per requestor per calendar year.
2. For requests related to youth organizations, no monetary donation is required. For all other requests, we ask
that you make a donation to the Anthony Muñoz Foundation.
Minimum donation requirements:
Playing Cards - $20
Flats (8x10 and larger) – $40
Footballs or Mini Helmets - $60
Helmets or Jerseys - $100
3. Anthony will only personalize items (i.e., “To John…”). If this item is for an auction or raffle, you will be
asked to send us the item to be signed, along with the related payment, once the recipient is known.
4. The AMF is not responsible for any shipping and packaging charges.
5. Items may be dropped off and picked up at the AMF office Monday through Friday between 9:00 a.m. and
5:00 p.m. Turnaround time on getting an item signed is typically one to two weeks. Please call prior to pick up.
6. Before receiving the signed item, information pertaining to the amount raised by the item must be provided.
Name of Organization:
Contact: Contact’s Relationship to Organization:
City: State: Zip Code:
Federal Tax ID Number: E-Mail:
How will the item be used?
Event Date: Item to be Signed:
All proceeds benefit the Anthony Muñoz Foundation.
For Office Use Only. Approved: Yes No Donation Amount: Amount Raised: