Meals to You Order Form Today's DateOrder by Friday for delivery the following week. DD slash MM slash YYYY Name(Required) First Last Email Delivery Address(Required)Deliveries start after noon. Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code What day would you like your meal(s) delivered?Please choose your delivery day below. Monday Tuesday Thursday What week would you like your meal(s) delivered?Special delivery informationEX: I live in a downstairs suite, phone before delivery, etc. Phone(Required)Emergency or secondary contact information(Required)Please provide the name and phone number of your emergency and/or secondary contact person.Do you have any allergies we should know about?(Required) Yes No Please list all food allergies:Hot Meals Please choose the quantity of hot meals you want to order. Delivery days are Monday, Tuesday, and Thursday. $10.00 per meal. Hot meals come with either soup or salad and a desert. Hot Meal with Soup QuantityPlease indicate below in the "quantity" field how many hot meals with soup you want to order. Price: $ 10.00 CAD Quantity Hot Meal with Salad QuantityPlease indicate below in the "quantity" field how many hot meals with salad you want to order. Price: $ 10.00 CAD Quantity Special instructionsTotal Credit Card(Required) NameThis field is for validation purposes and should be left unchanged.
