HTML Preview Donation Request Form From Pepsi page number 1.


FIU Beverage Donation Request Form
Pepsi-Cola Beverage Donations
Date ____________
Department ID #:______________________________
Department Name: ____________________________
Contact Person: _______________________________
Phone: ______________________________________
E-mail: ______________________________________
Request: # of cases ________________ (max 5 cases)
Event: ______________________________________
Date of event: ________________________________
Delivery location: ___________________________________________________________________________
__________________________________________________________________________________________
Provide a brief description of event.
__________________________________________________________________________________________
__________________________________________________________________________________________
How is this event university related? Who is expected to attend?
__________________________________________________________________________________________
__________________________________________________________________________________________
What is the estimated number of participants for this event? _________________________________________
Is there an admission fee for this event
? _________________________________________________
Please indicate number of cases of product you desire: ( max 5 cases )
1. REQUEST MUST BE SUBMITTED 2 WEEKS PRIOR TO FIU EVENT. E-mail this form to
npele004@fiu.edu or fax it to: (305) 348 -2832. For more information call (305) 348 -2187
2. Maximum of ( 5 case ) per request.
3. Maximum of (1) request per department ID, per semester.
4. Products listed are available while supplies last.
5. All events must take place on FIU campus and requests must be made from an FIU student organiz
ation
or University department.
Note: Deliveries will typically be made on Tuesdays and Fridays. Driver will call the contact person above upon delivery.
I agree to the above terms and conditions.
Sign: ____________________________________ Date: _________________
!"#$ %
FIU Business Services Use Only: Date reviewed: ______________________________________________
Reviewed by: _______________________________________________
Request: approved _____ denied _____
Explanation:
____________________________________________
mangomez@u.edu
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