Pepsi Product Donation Request Application

Groups or events interested in accepting donations of Pepsi product product shall apply through the following form

Applying for product donations does not guarantee a donation.

Product will be dispersed on a first-come, first-serve basis and at the discretion of Campus Services. Please note that student events are given first priority for product.

Fields with * are required.

**Requests must be made at least two weeks in advance.**
Group requesting Pepsi product donation*

UC DepartmentUC Student organization
Department, Group or Organization Name*
Name*

First NameLast Name
Email address*
example@example.com
Phone Number*
10-digit number
Event Name*
Pepsi product delivery location(s)?*
location(s)/instructions
Event Date?*

MonthDayYear
Date delivered?*

MonthDayYear
Case quantity of each product requested

Please note that each case contains 24 servings.
Aquafina, 16.9-ounce bottles, CASE
Case = 24 bottles, please indicated the number of CASES needed
Pepsi, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Diet Pepsi, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Mountain Dew, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Diet Mountain Dew, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Dr. Pepper, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Diet Dr. Pepper, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Starry, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Glacier Cherry, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Grape, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Fruit Punch, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Lemon Lime, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Orange, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Gatorade, Riptide Rush, 20-ounce bottles
Case = 24 bottles, please indicated the number of CASES needed
Any other information that may be relevant, please enter it here.
Should be Empty:

Groups or events interested in accepting donations of Pepsi product product shall apply through the following form

Case quantity of each product requested