Meal Kit Form

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Delivery Address

Street Address

Street Address Line 2

CityState

Zip Code

Please call Sophia if you would like to arrange pickup orders. Please note our staff is doing all the protective measures to prevent the spread of Covid-19 by following the CDC guidelines. We ask guest to wear mask when recieveing thier order.

Date*

DateHourMinutesAM/PM Option

Please List any dietary/allergy restrictions

My Products

Smoothies
product

Banana Pineapple$7.00

Fresh Baby Spinach, Banana, Peaches and Pineapple (all ingredients are frozen into freezer bags)

Quantity

Blueberry Apple $7.00

Fresh Baby Spinach, Blueberries, Banana, and Apples (all ingredients are frozen into freezer bags)

Quantity

Strawberry Pineapple$7.00

Fresh Baby Spinach, Strawberries, Apples and Pineapple (all ingredients are frozen into freezer bags)

Quantity

Entrees
product

Meal Kit 1$10.50

Rosemary Chicken Served with Season Vegetables and Roasted Potatoes

Quantity

Meal Kit 2 $10.50

Baked Jerk Chicken served with Seasonal Veggies and Brown Rice

Quanity

Meal Kit 3$11.00

Curry Tilapia served with seasonal vegetables and brown rice

Quantity

Meal Kit 4$14.00

Atlantic Salmon served with Seasonal Veggies and Roasted Potatoes

Quantity

Meal Kit 5$11.50

Vegetable Stir fry served with teriyaki sauce and whole wheat noodles

Additions	Quantity	Price
Add Chicken		$11.50
Add Tofu		$10.50
None		$9.50

Meal Kit 6$12.50

Veggie Rasta Pasta is served with whole wheat pasta, peppers, onions and served with a creamy coconut sauce.

Additions Quantity

Salads
product

Summer Salad$11.50

Our Summer Salad is served with mixed greens, blueberries, strawberries and almonds

QuantityAdditions

Seasonal Salad$9.50

Our Seasonal Salad is served with mixed greens, tomatoes, cucumbers, shredded carrots and red onions

QuantityAdditions

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Subtotal $0.00Tax $0.00Total $0.00

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