1:1 DIET ORDER FORM

THE 1:1 DIET - ORDER FORM

by Cambridge Weight Plan
Name

First NameLast Name
Date

MonthDayYear
Date of order

SMOOTHIES

	Amount
Strawberry & Banana with Oats
Cherry & Strawberry
Blackcurrant & Apple

SOUPS

	Amount
Vegetable with Croutons
Oriental Chilli
Chicken & Mushrooms
Leek & Potato
Chicken Noodle

PORRIDGE

	Amount
Original
Apple & Cinnamon
Mixed Berry
Golden Syrup

BARS

	Amount
Chocolate Chewy
Chocolate & Orange Fusion
Toffee Chewy
Peanut Crispy
Lemon Yoghurt
Strawberry & Apple Yoghurt
Cookies & Cream
Fruit & Nut

READY TO DRINK

	Amount
Chocolate Shake and Go
Latte Shake and Go
Apple & Kiwi Yogurt Drink
Mixed Berry Yoghurt Drink

BITES

	Amount
Salted Caramel Bites
Blueberry Bites

SAVOURY

	Amount
Macaroni Cheese
Spaghetti Bolognese
Chicken Tikka Style Curry
Thai Green Curry with Noodles
Pesto Pasta
Sweet & Sour Noodles

EXTRAS

	Amount
Mix-a-Mousse
Cambridge Fibre

SHAKES

	Amount
Banana
Cappuccino
Strawberry
Chocolate Mint
Chocolate
Vanilla

STEP UP MEALS (Step 2 & above)

	Amount
Veggie Chilli & Potato Wedges
Beef Cassserole
Beef Kofta Curry & Rice
Chicken Curry with Rice
Chicken Casserole
Veggie & Chickpea Ragu

WATER FLAVOURING

	Amount
Raspberry & Elderflower
Lemon & Lime
Golden Vegetable
Orange
Pineapple

POP SQUARES

	Amount
Roast Chicken
Cheese & Onion
BBQ

TOTAL
Payment by bank transfer

Minimum order - 14 Products:

14 Products £45 per week

21 Products £60

28 Products £75

plus £6 postage (please note I am unable to send the ready shakes via post)

Additional products £2.50 each

Step up meals £3

Waterflavouring and Mix a Mousse £5

Pop Squares £1 per bag

2.5ltr Water Bottle £10

Shaker Bottle £5

For online payment please use

Account Name: One 2 One Diet with Selma

Account Number: 50269803

Account Name: 82-11-07
Should be Empty: