Pepsi Cola of Corbin has a long tradition of supporting activities in the communities where we live and work. We consider it a privilege to partner with organizations that are working through events to make our communities better. Due to the substantial number of donation requests that we receive and the time needed to process each request, we ask that the following donation request be submitted at least two weeks in advance of your event. Requests that are received after the two week lead time will automatically be denied. The request form will be reviewed by our team and if approved, your organization will be contacted so that the request can be fulfilled and arrangements be made for product pick up.

Please include a description or flyer of your event on your company’s letterhead with your form. We look forward to partnering with you and thank you for your community involvement.

Attention: All donation requests must be received two weeks prior to the event or the request will be denied.

Please fill out the request form below:

"*" indicates required fields

ORGANIZATION NAME*

ORGANIZATION CATEGORY

Which Kentucky county will the event be held in?

DESCRIBE YOUR ORGANIZATION*

501C3 NUMBER

ARE YOU A CURRENT CUSTOMER?*

EVENT NAME*

DATE OF THE EVENT*

HAS PEPSI OF CORBIN/SOMERSET SPONSORED THIS EVENT BEFORE?*

FREQUENCY OF THE EVENT?

ESTIMATED ATTENDANCE?

NAME OF THE PRIMARY CONTACT?*

PRIMARY CONTACT PHONE NUMBER*

PRIMARY CONTACT EMAIL*

MAILING ADDRESS OF ORGANIZATION?

Street Address Address Line 2 City State ZIP Code

WHAT ARE YOU REQUESTING?

Phone

This field is for validation purposes and should be left unchanged.

900 18th Street

Corbin, KY 40701

Telephone: (606)528-1630

Fax: (606)528-8117

Email: customerservice@pepsicorbin.com

556 KY-39

Somerset, KY 42503

Telephone: (606) 679-7302

Email: customerservice@pepsicorbin.com