Lake Otis and Dowling
5905 Lake Otis Parkway, Unit E
Anchorage, Alaska 99507
Phone: (907) 677-6633 Fax: (907) 677-6636
www.alaskadinnerfactory.com
Delivery Club Form
For the purchase price of $175 each month, Alaska Dinner will provide the following:
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6-entrée package
Assembly of those meals
Delivery of those meals
Half-order of the current month’s dessert
Customer agrees to the following:
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On the 1st of each month, Alaska Dinner Factory will draft a charge of $175 each and every month
until this contract is cancelled
By the 5th of current month, you will go to our website and place an order to choose your meals. On
our calendar, choose the second Monday, and use the promo code CLUB when prompted. At the end
of checkout, choose Pay By Phone – but there is no need for you to call us. You can also email your
menu choices to us at info@AlaskaDinnerFactory.com and we will reply with a confirmation within
two days – if you do not receive the confirmation, please resend or call so you don’t miss the 5th-ofthe-month-deadline. Our menus always appear the month before and you are welcome to choose
ahead – just make sure to have your order in by the 5th.
By the end of that month, ADF will deliver your meals to the Delivery Address listed below. We will
contact you by email to coordinate a date and time that is agreeable to both parties. If we are unable
to contact you by the end of the month, and previous arrangements have not been made, you will
forfeit your meals for that month.
You may terminate this contract with 10 days written notice before the 1st of the month. Email to
info@AlaskaDinnerFactory.com and we will reply with a confirmation within two days – if you do
not receive the confirmation, please resend or come in so you don’t miss the 10-days-before-the-1st of-the-month-deadline.
I understand and will comply with the above:
____________________________________________________
Signature
______________________________
Date
____________________________________________________
Print
Alaska Dinner Factory Delivery Club Form – Page 1
Lake Otis and Dowling
5905 Lake Otis Parkway, Unit E
Anchorage, Alaska 99507
Phone: (907) 677-6633 Fax: (907) 677-6636
www.alaskadinnerfactory.com
Name on Card__________________________________________________________________
Credit Card Number ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Expiration Date _______ / _______
3-Digit Code on Back of Card _____________
Mailing Address________________________________________________________________
City _____________________________ State ____________ Zip ________________________
Signed_______________________________________
Amount $_175_____________
Do you want Wholes__________ or Splits__________?
Phone Number______________________________ Alternate Number____________________________
Email Address__________________________________________________________________________
Delivery Address/Directions from ADF______________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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Alaska Dinner Factory Delivery Club Form – Page 2