shopFIU Beverage Donation Request

Please use this form to submit a request for Pepsi products. Products are available one to two weeks prior to event. Please submit request 30 business days prior to event. (DONATIONS FOR FIU ONLY: Not intended for external use)

Panther ID *
Department Name *
Requester Name Requester Name * First Last
Name of person requesting donation
Requester Email *
Requester Phone Requester Phone * - ### - ### ####
Pickup Name Pickup Name * First Last
Name of person picking up order
Pickup Location *

Pickup Location MMC BBC EC
Event Name *
Estimated Number of Attendees *
Event Date Event Date * / MM / DD YYYY

Please submit requests 30 business days prior to event.
Product Selection

Please view our selection of products below. Please note 1 case = 24 cans/bottles. LIMIT 5 CASES PER ORDER.

Please answer the following questions:
Please answer the following questions:	1 Case	2 Cases	3 Cases	4 Cases	5 Cases
Pepsi	Pepsi1 Case	Pepsi2 Cases	Pepsi3 Cases	Pepsi4 Cases	Pepsi5 Cases
Diet Pepsi	Diet Pepsi1 Case	Diet Pepsi2 Cases	Diet Pepsi3 Cases	Diet Pepsi4 Cases	Diet Pepsi5 Cases
Diet Pepsi Caffeine Free	Diet Pepsi Caffeine Free1 Case	Diet Pepsi Caffeine Free2 Cases	Diet Pepsi Caffeine Free3 Cases	Diet Pepsi Caffeine Free4 Cases	Diet Pepsi Caffeine Free5 Cases
Sierra Mist	Sierra Mist1 Case	Sierra Mist2 Cases	Sierra Mist3 Cases	Sierra Mist4 Cases	Sierra Mist5 Cases
Diet Sierra Mist	Diet Sierra Mist1 Case	Diet Sierra Mist2 Cases	Diet Sierra Mist3 Cases	Diet Sierra Mist4 Cases	Diet Sierra Mist5 Cases
Crush (Orange Flavor)	Crush (Orange Flavor)1 Case	Crush (Orange Flavor)2 Cases	Crush (Orange Flavor)3 Cases	Crush (Orange Flavor)4 Cases	Crush (Orange Flavor)5 Cases
Diet Crush (Orange Flavor)	Diet Crush (Orange Flavor)1 Case	Diet Crush (Orange Flavor)2 Cases	Diet Crush (Orange Flavor)3 Cases	Diet Crush (Orange Flavor)4 Cases	Diet Crush (Orange Flavor)5 Cases
Dr. Pepper	Dr. Pepper1 Case	Dr. Pepper2 Cases	Dr. Pepper3 Cases	Dr. Pepper4 Cases	Dr. Pepper5 Cases
Diet Dr. Pepper	Diet Dr. Pepper1 Case	Diet Dr. Pepper2 Cases	Diet Dr. Pepper3 Cases	Diet Dr. Pepper4 Cases	Diet Dr. Pepper5 Cases
Mountain Dew	Mountain Dew1 Case	Mountain Dew2 Cases	Mountain Dew3 Cases	Mountain Dew4 Cases	Mountain Dew5 Cases
Diet Mountain Dew	Diet Mountain Dew1 Case	Diet Mountain Dew2 Cases	Diet Mountain Dew3 Cases	Diet Mountain Dew4 Cases	Diet Mountain Dew5 Cases
Brisk Iced Tea	Brisk Iced Tea1 Case	Brisk Iced Tea2 Cases	Brisk Iced Tea3 Cases	Brisk Iced Tea4 Cases	Brisk Iced Tea5 Cases
Aquafina	Aquafina1 Case	Aquafina2 Cases	Aquafina3 Cases	Aquafina4 Cases	Aquafina5 Cases
Bubly Water	Bubly Water1 Case	Bubly Water2 Cases	Bubly Water3 Cases	Bubly Water4 Cases	Bubly Water5 Cases

Terms & Conditions
1. Maximum of five (5) cases per request. 2. Maximum of one (1) request per department ID, per year. 3. Products listed are available while supplies last. 4. All events must take place on FIU campus and requests must be made by an FIU Department for an FIU event. 5. Selling of product and personal use of product is prohibited. (SIGN BELOW) I agree to the above terms and conditions.
Please read and sign below
Draw your signature into the box below. *

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shopFIU Beverage Donation Request

shopFIU Beverage Donation Request

Product Selection