Pepsi Donation Request Pepsi Donations Pepsi Donations Please fill out this form completely and indicate what product you would like donated for your event. Requests need to be made 2 weeks prior to your event and include at least five cases of product. This form does not guarantee that specific product will be available for your event. You will receive a confirmation email with your final items within 3 business days of your request being submitted. Name * Name Name Name Phone * Email * Department / Organization * What do you need? * Product Coolers Both Product Request Due to delivery constraints, orders with less than five cases are ineligible for delivery and will not be fulfilled. Small orders can be made through UShop Name of Event * Type of Event * Student Alumni Association Departmental / Faculty & Staff U Health / Faculty & Staff Only requests for student events and faculty / staff benefit events will be processed. Products for conferences and workshops must be purchased. Date of Event * Date of Desired Delivery * *Please schedule your delivery for at least 2 DAYS BEFORE your event* Delivery Address * Building Address & Number Room # * Expected Attendance * Which Product Would you Like? * Pepsi Pepsi Zero Sugar Mountain Dew Diet Mountain Dew Starry Starry Zero Sugar Mug Root Beer Bubly Gatorade Propel Water ** Each drink comes in cases of 24 cans (1 case = 24 drinks), please make your request as close to expected attendance as possible (150 attendance = about 6 total cases)** Pepsi 1 2 3 4 5 (1 Case = 24 Cans) Pepsi Zero Sugar 1 2 3 4 5 (1 Case = 24 Cans) Mountain Dew 1 2 3 4 5 (1 Case = 24 Cans) Diet Mountain Dew 1 2 3 4 5 (1 Case = 24 Cans) Starry 1 2 3 4 5 (1 Case = 24 Cans) Starry Zero Sugar 1 2 3 4 5 (1 Case = 24 Cans) Mug Root Beer 1 2 3 4 5 (1 Case = 24 Cans) Bubly Flavors Lime Grapefruit Strawberry Bubly Lime 1 2 3 4 5 (1 Case = 24 Cans) Bubly Grapefruit 1 2 3 4 5 (1 Case = 24 Cans) Bubly Strawberry 1 2 3 4 5 (1 Case = 24 Cans) Gatorade Flavors Grape Fruit Punch Lemon Lime Orange Blue Raspberry Fierce Grape Glacier Freeze Glacier Cherry Glacier Cherry Zero Glacier Freeze Zero Lemon Lime Zero Gatorade Grape 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Fruit Punch 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Lemon Lime 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Orange 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Blue Raspberry 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Fierce Grape 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Glacier Freeze 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Glacier Cherry 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Glacier Cherry Zero 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Glacier Freeze Zero 1 2 3 4 5 (1 Case = 24 Bottles) Gatorade Lemon Lime Zero 1 2 3 4 5 (1 Case = 24 Bottles) Propel Flavors Kiwi Strawberry Watermelon Berry Grape Propel Kiwi Strawberry 1 2 3 4 5 (1 Case = 24 Bottles) Propel Watermelon 1 2 3 4 5 (1 Case = 24 Bottles) Propel Berry 1 2 3 4 5 (1 Case = 24 Bottles) Propel Grape 1 2 3 4 5 (1 Case = 24 Bottles) Water Aquafina 20oz Bottles Aquafina 12oz Bottles Aquafina 20oz Bottles 1 2 3 4 5 (1 Case = 24 Bottles) Aquafina 12oz Bottles 1 2 3 4 5 (1 Case = 24 Bottles) Cooler Reservation Enter your request for coolers below. Filling out this form does not guarantee you will receive everything you have requested. You will be contacted with a confirmation within 2 business days to confirm your reservation. Reservations are made on a first-come, first-serve basis. You are responsible for picking up and returning the coolers. Although this is a free service, a chartfield is required for check-out and a $20 fee will be assessed if coolers are brought back late, dirty or damaged. Pick-up and return will be made at the Auxiliary Business Development Office (1945 DeTrobriand Street, building 621) and must be made during regular business hours. Chartfield * Chartfields are kept on file and released when items are returned. Items that are returned dirty or damaged are subject to a $20 charge. Checkout Date * Return Date * What coolers do you need? * Ice Chest Coolers 5 Gallon Water Cooler 10 Gallon Water Cooler Ice Chest Cooler 1 2 3 4 5 6 7 8 9 10 5 Gallon Water Cooler 1 2 3 4 5 6 7 8 9 10 10 Gallon Water Cooler 1 2 3 4 5 If you are human, leave this field blank. Next Δ
