Name* First Last Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*What meals do you wish to have delivered?* Breakfast Lunch Dinner Snacks Snack FrequencyOnce dailyTwice dailyHow many people are to be served per meal?*OneTwoThreeFourWhat frequency are you ordering in?*DailySeveral days' worth at onceA week's worth at onceWhat daily caloric count are you striving for?*1,000 – 1,500 calories1,501 – 2,000 caloriesNot applicableAre you:* Vegetarian Vegan Diabetic Allergic None of the above Other (please specify) AllergiesPlease provide details of your allergiesOtherPlease provide detailsWhat is your current diet?e.g.: eggs, coffee and toast for Breakfast; soup and salad for lunch; cooked/raw vegetables, meat/meat alternative portion, carbs (pasta, potatoes, rice, bread etc.) for dinner; dessert or no dessert; juice, water, milk, alcohol, etc. Please provide broad details to allow for a menu outline on next page.What average cost per meal are you expecting to pay? Please indicate an estimate per person per meal.Breakfast Lunch Dinner Snacks What would you say is your cooking ability?Non-existentGood for basicsAverageAbove averageChefEmailThis field is for validation purposes and should be left unchanged.