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? *

Yes No
Please enter YOUR NAME (since you helped) DO NOT enter the name of the Coke Rep here. *

First Name Last 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? *

Yes No
Please enter amount for reimbursement
Any request More than $50 needs approval from CSE.
Date of event *

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

Makeup Event Event with my Bottler
What brands did you represent? *

Aloe Gloe Barq's Barralitos Blue Sky Coca Cola orange vanilla Coca-Cola cherry Coca-Cola original Coca-cola vanilla Coke Life Coke Origins Coke Zero Sugar Core Power Dasani/Dasani Sparkling Diet Coke Dunkin' Iced Coffee Fairlife Fanta Fresca FUZE Gold Peak Hansen's Hi-C Honest Tea Hubert's Lemonade McCafe Iced Coffee Mello Yello Minute Maid Odwalla Peace Tea Pibb POWERADE Seagram's Simply smartwater Sprite Suja Surge TaB The Coca-Cola Company (generic) vitaminwater Zico
Please describe what you did for this payment: *
Should be Empty:

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