Glenwood Restaurant
Order Form

Here is a safe and easy method to order our products. Simply print this order form on your home computer and fill it out. Include check or money order payable to The Glenwood, or you can use your credit card by filling out the information below.

Mail to: The Glenwood
4603 Main Street
Onekama, MI 49675

Quantity Item Total
  Lime Ginger Dressing - $6.95  
  Cherry Mustard Vinaigrette - $6.95  
  Woodland Salad Bowl - $37.00 PPD  
  Almond Battered Shrimp Basket - $27.00 PPD  
  Gifts from the North - $51.00 PPD  
  Beer Lovers Basket - $34.00 PPD  
  Two Retro Mugs in a Tin - $26.00 PPD  
  Cherry Mustard Viniagrette Basket - $18.00 PPD  
  Shipping and handling- (see chart below)  
  Total  

All Gift Basket prices above include Postage and Handling.
Zone 1- Michigan; Zone 2- East of the Rockies; Zone 3- West of the Rockies
Amount zone 1 zone 2 zone 3
1-2 bottles 5.50 5.80 6.85
3-5 bottles 5.75 6.30 7.60
6-8 bottles 6.00 6.80 8.35
9-11 bottles 6.25 7.30 9.10
Each case 6.50 7.80 9.85


Invoice To:
Name
Street Address
City State ZIP
Telephone E-mail

Ship To:
Name
Street Address
City State ZIP
(If you would like to include a message with your order, please write on the back of this page.)

Select payment method: Credit Card ____ Check ____ Money order ____
Credit Card Information
Please check one: Visa ____ Mastercard ____
Card Holder
Card Number Expiration Date
Your order will be secure and confidential.
Information submitted will be used solely by Glenwood Restaurant to ship and confirm your order.

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