Westby Student Council Pop Order Form


Faxed___________________
By Friday  

        ( 608) 784-1112  Attn: Mr. Anderson

 

Phone Number: 1-800-658-9052       Norsemen: #107249   Glass: #107077

 

Student Filler: _____________________________ Date:______________

 

POP

# Of Bottles

Order

Pepsi

5

 

Mountain Dew

8

 

Diet Pepsi

1

 

Diet Mountain Dew

1

 

Sierra Mist

1

 

Mug Rootbeer

1

 

Sunkist

1

 

Wild Cherry Pepsi

1

 

Pepsi Twist

1

 

JUICE

# Of Bottles

Order

Tropicana Lemonade

1

 

Trop. Pink Lemonade

1

 

Trop. Straw. Melon

1

 

Hawaiian Punch

1

 

Dole Apple

1

 

Dole Orange

1

 

Dole Grape

1

 

Dole Lt. Berry Blend

1

 

Iced Tea

1

 

Gatorade Grape

1

 

Gatorade Lemon Lime

1

 

Gatorade Fruit Punch

1

 

Gatorade Cool Blue

1

 

Propel Lemon

1

 

Propel Kiwi-Straw.

1

 

Propel Berry

1

 

Aquafina Water

5

 

Aquafina Flavor Splash Raspberry

1