Student Involvement and Activities Center

PEPSI REQUEST FORM

Through the UNI Pepsi agreement, the Student Involvement Center facilitates the allocation of Pepsi products
for registered UNI Student Organizations.

Guidelines for Pepsi Requests:

Events must be on campus.
Events must be campus-wide and open to all students.
Groups must be an NISG recognized student organization.
Allocated beverages may NOT be sold or used to generate profit in any way.
Allocated beverages are to be used at the specified event only. Any unused portions are to be returned to the
Student Involvement Center.
Examples of events where Pepsi products will not be made available include (but are not limited to) field trips, off campus excursions, presentations, conferences, luncheons, dinners, limited receptions, and class related activities.
Pepsi products are only available for student organzation meetings that are designed as a recruitment or "kickoff" meeting. Products can not be provided for regular meetings.
Organizations’ requests do not guarantee that the request will be filled, nor is any guarantee made that the exact number and brand requested will be filled. We reserve the right to amend all requests based on the criteria, nature of the event, and amount of product available.

Requests must be made to the Student Involvement Center
at least two weeks in advance of the event.

DIRECTIONS: Please use the TAB key to move between fields.

Student Organization

Requestor's Name

E-Mail Address

Phone Number

Date of Event

Description of Event
(please include: Location and number of people estimated)

Choose the product and the quantity you would like to request. Product can be requested by case, 12 pack, or 6 pack.
(Due to limited allocation, we may not be able to accomodate you entire order)

Pepsi	Quantity
Dt. Pepsi	Quantity
Cherry Pepsi	Quantity
Dt. Cherry Pepsi	Quantity
Mug Rootbeer	Quantity
Dt. Mug Rootbeer	Quantity
Mt. Dew	Quantity
Dt. Mt. Dew	Quantity
Sierra Mist	Quantity
Dt. Sierra Mist	Quantity
Aquafina 12 oz. bottles	Quantity

captcha image

Please enter the text in the image into the field above. If you cannot read the image, click refresh.

You will receive an e-mail confirming this request. Thank you.

Student Involvement Center
111 Maucker Union | University of Northern Iowa | Cedar Falls IA 50614-0167
Phone: (319) 273-2683 | Fax: (319) 273-7640 | E-Mail: SIAC@uni.edu

Maintainted by Maucker Union Administrative Office
Last Modified: 07/29/2013