Student Payment Request 2018

For more help on how to fill out this form, view this demo video: http://bit.ly/CokePaymentDemo
Are you the main rep at your campus?*

YesNo
Please enter YOUR NAME (since you helped) DO NOT enter the name of the Coke Rep here. *

First NameLast Name
Enter your .edu email address here that is associated with your account*
Name of Coca Cola Brand Rep*
Name of Campus*
Do you need to be reimbursed?*

YesNo
Please enter amount for reimbursement
Any request More than $50 needs approval from CSE.
Date of event*

MonthDayYear
Hours Worked*
If you are requesting reimbursement you should leave the hours at 0.
Type of Payment Request*

Makeup EventEvent with my BottlerOther
What brands did you represent?*

Aloe GloeBarq'sBarralitosBlue SkyCoca Cola orange vanillaCoca-Cola cherryCoca-Cola originalCoca-cola vanillaCoke LifeCoke OriginsCoke Zero SugarCore PowerDasani/Dasani SparklingDiet CokeDunkin' Iced CoffeeFairlifeFantaFrescaFUZEGold PeakHansen'sHi-CHonest TeaHubert's LemonadeMcCafe Iced CoffeeMello YelloMinute MaidOdwallaPeace TeaPibbPOWERADESeagram'sSimplysmartwaterSpriteSujaSurgeTaBThe Coca-Cola Company (generic)vitaminwaterZicoOther
Please describe what you did for this payment:*
Should be Empty: