Order Form

Great Lakes Vending Service Order Form

Call For Current Prices (517) 372-1782
Current Customers, Please provide your Account Number.
$30 Minimum Order

Order Information

Water

Product	Size	Quantity
Spring Water	3 Gallon
Spring Water	5 Gallon
Purified Water	3 Gallon
Purified Water	5 Gallon
Distilled Water	1 Gallon, 6 ct.
Distilled Water	5 Gallon
Dasani	40 ct.

Beverages - Cans

Product	Size	Quantity
Coke	24 ct.
Diet Coke	24 ct.
Cherry Coke	24 ct.
Sprite	24 ct.
Mountain Dew	36 ct.
Diet Mountain Dew	36 ct.
Pepsi	36 ct.
Diet Pepsi	36 ct.
Berry Lacroix	24 ct.
Pure Lacroix	24 ct.
Grapefruit Lacroix	24 ct.
Keylime Lacroix	24 ct.

Beverages - Bottles

Product	Size	Quantity
Welch's Orange Juice	10 oz. - 24 ct.
Welch's Apple Juice	10 oz. - 24 ct.
Welch's Cranberry Juice	10 oz. - 24 ct.
Minute Maid Cran Grape Juice	15.2 oz. - 24 ct.
Minute Maid Orange Juice	15.2 oz. - 24 ct.
Vitamin Water	20 oz. - 24 ct.
Gatorade Orange	20 oz. - 24 ct.
Gatorade Fruit Punch	20 oz. - 24 ct.
Diet Moutain Dew	20 oz. - 24 ct.
moutain dew	20 oz. - 24 ct.
Pepsi	20 oz. - 24 ct.
Sprite	20 oz. - 24 ct.
Cherry Coke Zero	20 oz. - 24 ct.
Cherry Coke	20 oz. - 24 ct.
Coke Zero	20 oz. - 24 ct.
Caffeine Free Diet Coke	20 oz. - 24 ct.
Diet Coke	20 oz. - 24 ct.
Coke	20 oz. - 24 ct.
Diet Pepsi	20 oz. - 24 ct.
Ice Mountain 16.9	20 oz. - 24 ct.

Coffee

Product	Size	Quantity
White Bear Premium Blend	1.25 oz. - 42 ct.
White Bear Premium Decaf Blend	1.25 oz. - 42 ct.
White Bear Colombian Blend	1.25 oz. - 42 ct.
White Bear Colombian Blend	20 oz. - 42 ct.
White Bear Premium Blend Filter Pack	1.25 oz. - 42 ct.
Folgers - Classic Roast Vacket	0.9 oz. - 42 ct.
Maxwell House Master Blend	1.1 oz. - 42 ct.
Maxwell House - Decaffeinated Blend	1.1 oz. - 42 ct.
Starbucks - House Blend	2.5 oz. - 72 ct.
Paramount Diners Choice	1.25 oz. - 42 ct.
Paramount Joe's Donut Blend 2.25	48 ct.
Higgins & Burke Begamia Grey	24 ct.
Higgins & Burke Bountiful Green	24 ct.
RC Martinson Colombian Decaf	4x24 or oz. - 96 ct.

Single Cup Products (Cup Brewer)

Product	Size	Quantity
Biggby Best Cup (Biodegradable)	40 ct.
Higgins & Burke English Breakfast Tea	24 ct.
Higgins & Burke Earl Grey Tea	24 ct.
Higgins & Burke Chai Tea	24 ct.
Higgins & Burke Green Tea	24 ct.
Grove Square Cappuccino Caramel	24 ct.
Grove Square Cocoa Milk Chocolate	24 ct.
Grove Square Cocoa Dark Chocolate	24 ct.
Grove Square Cappuccino Hazelnut	24 ct.
Grove Square Cappuccino French Vanilla	24 ct.
RC Martinson Donut Shop Original	24 ct.
RC Martinson Dark Roast Decaf	24 ct.
RC Martinson Hazelnut	24 ct.
RC Martinson Dark Roast	24 ct.

Single Cup Products (Pod Brewer)

Product	Size	Quantity
Wolfgang Puck Caramel Creme	18 ct.
Wolfgang Puck Sorrento	18 ct.
Wolfgang Puck Espresso	18 ct.
Wolfgang Puck Chef's Reserve	18 ct.
Wolfgang Puck Chef's Reserve Decaf	18 ct.
Wolfgang Puck Hawaiian Hazelnut	18 ct.
Wolfgang Puck French Vanilla	18 ct.
Wolfgang Puck Jamaican Me Crazy	18 ct.
Wolfgang Puck Organic Colombian	18 ct.
Wolfgang Puck Rodeo Drive	18 ct.
Wolfgang Puck Berry White Tea	18 ct.
Wolfgang Puck Panfired Green Tea	18 ct.
Wolfgang Puck English Breakfast Tea	18 ct.

Hot Chocolate & Tea Products

Product	Size	Quantity
Tazo Assorted Flavors Tea	24 ct.
Tazo Breakfast Blend Tea	24 ct.
Tazo Passion Fruit Tea	24 ct.
Tazo Chai Tea	24 ct.
Tazo Green Tea	24 ct.
Lipton Tea	100 ct.
Swiss Miss Hot Chocolate w/Marshmallows	24 ct.
Sugar Free Swiss Miss Hot Chocolate	50 ct.
Swiss Miss Hot Chocolate	200 ct.
Tazo Awake Tazo Green China Tea	144 ct.

Creamer & Sugar

Product	Size	Quantity
Coffeemate Creamer Original	12 oz.
Coffeemate Creamer Canister French Vanilla	12 oz.
Coffeemate Creamer Canister Hazelnut	12 oz.
Creamer Canister	12 oz.
Sugar Canister	12 oz.
Coffeemate Liquid Creamer Original	180 ct.
Coffeemate Liquid Creamer French Vanilla	180 ct.
Coffeemate Liquid Creamer Hazelnut	180 ct.
Coffeemate Liquid Creamer Vanilla Caramel	180 ct.
Creamer Packets	1000 ct.
Coffeemate Liquid Pump Original	1.5 liter
Coffeemate Liquid Pump French Vanilla	1.5 liter
Coffeemate Liquid Pump Hazelnut	1.5 liter
Sweet and Low Packets	400 ct.
Equal Packets	500 ct.
Sugar Packets	2000 ct.
Splenda	500 ct.
International Delight French Vanilla Creamers	192 ct.

Additional Products

Product	Size	Quantity
Cone Cups	4.25 oz - 5000 ct.
Plastic Cups	5 oz - 2500 ct.
Foam Cups	16 oz - 1000 ct
Foam Cups	12 oz - 1000 ct.
Foam Cups	8 oz - 1000 ct
Coffee Filters 12 cup	1000 ct.
Stir Sticks	1000 ct.
Foam Cups 10oz	1000 ct.

Special Request

Account Information

Business Name/Name: Required

Account Number

City

State

Zip

Phone

Contact Name

Email Address