NN - Grocery Pickup & Delivery Order Form

Nutritional Delivery Services Prices & How this works:

- $20 flat rate delivery fee + 10% of total grocery budget (extra)

These fees are to cover gas, mileage, and time, depending on the budget (some specialty items may be picked up out of town)

The client can order via the below sheet stating desired foods or dietary needs, or the natural nutritionist consultant will deliver recommended items based on needs. When the budget amount, delivery fee, and address are received from the client, we will go out and get your healthy food, and a suggested supplement (if applicable). Fees will be extra on top of the grocery budget. (Twillingate area only. Anywhere outside this area may be subject to extra fees, a shipment with non-perishables only via Canada Post, and/or have to be scheduled based on demand in select areas in NL).

If at any time you need help with filling out this form, you can call/text us at 1-709-701-3342, email newfoundnutrition@outlook.com, or click the button below to chat via Facebook messenger. There are no silly questions!

Order Form

Note: Twillingate area only for typical pricing. Anywhere outside this area may be subject to extra fees, a shipment with non-perishables only via Canada post, and/or have to be scheduled for a later date based on demand in select areas in NL

Are you a returning client, or have a ongoing assessment/plan with us?*

What is your Newfound Nutrition ID #?:

*For our consultation/assessment clients on a plan, we do a free delivery!

Name

First NameLast Name

Email

example@example.com

Phone Number - Delivery Notification/Incase of questions

Area CodePhone Number

Address for Delivery/Drop-Off:

Street Address

Street Address Line 2

City

Postal / Zip Code

Are you on any particular diet plan/recommendations? Did you want to try any?

If not, we'll just deliver what we believe are best for anybody's general health!

Any preferred grocery or health food stores?

If not, we'll find the best deals & choices around for you

Special circumstances

Other

Themed Grocery Pick-up

Other

How much of your chosen budget you want spent on the above theme(s)?

Any known allergies/sensitivities? Please describe here:

i.e. peanuts, gluten, dairy, nightshades, etc.

Any other restrictions we should consider?

i.e. liquid foods only, no meats, food preferences, etc.

How would you like to pay?

Choose your desired health grocery budget, with pickup/delivery fees included (Paypal method, you will be re-directed after you submit order form):

$50 grocery budget + pickup/delivery fees$75.00 CAD

Short-Run & Convenient - Most powerful staple foods for the dollar

$75 grocery budget + pickup/delivery fees$102.50 CAD

Short-Run with more options, comes with some healthy snacks and or beverages

$100 grocery budget + pickup/delivery fees Product Image

$100 grocery budget + pickup/delivery fees $130.00 CAD

$150 grocery budget + pickup/delivery fees Product Image

$150 grocery budget + pickup/delivery fees$185.00 CAD

$200 grocery budget + pickup/delivery fees Product Image

$200 grocery budget + pickup/delivery fees$240.00 CAD

Total $0.00 CAD

Choose your desired health grocery budget, with pickup/delivery fees included (e-Transfer method):

Custom order amount:

Your custom order total is:

dollars

Total:

Your total is: $75.00

Your total is: $102.50

Your total is: $130.00

Your total is: $185.00

Your total is: $240.00

e-Transfer payments for orders are sent to:

newfoundnutrition@outlook.com

Order will not be considered placed until the total amount with budget and pickup/delivery fees included are received in full

*PLEASE READ*

Newfound Nutrition Grocery Pick-up/Delivery Policies:

Client services and chart information are confidential. Written authorization is required from you to release any information.

• I understand that the groceries may be left on my front porch, or next to an entrance

• Once delivered, and the client is notified, theft or food spoilage is now their responsibility

• If a client wants to postpone delivery, they must do so at least 24 hours before the scheduled date, or the client may be subject to a grocery holding/refrigeration fee

• Only healthy foods are considered for pick-up, no "junk" food will be purchased

• The foods delivered are considered supplementary health foods, and may not contribute enough to the total energy (calories) needed, based on individual needs

• I understand that my nutritional consultant or I may end the scheduled delivery (within 24 hrs) for any reasons

• Payment for grocery budget and pickup/delivery fees must be paid in full first before groceries are picked up & delivered. Receipt for groceries will be in or stapled to bag