Subscription Sign-up Form
Welcome to Nourish by The Distinguished Palate! Select your meal plan and enjoy fresh, delicious and healthy meals tailored to your needs. First time customers enjoy 10% their first month plan.
Customer Details:
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How would you like to be contacted
*
Phone Number
Email
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Meal Order Details:
Dietary Preferences:
Vegan
Gluten Free
Dairy Free
No Restrictions
Special Requests & Allergies:
Fresh & Ready Meal Plans (prices are VAT inclusive)
*
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( X )
Weekly Plan
5 Meals
176.00 BSD
176.00
BSD
for each
week
Bi-weekly Plan
10 Meals
352.00 BSD
352.00
BSD
for each
two weeks
Monthly Plan
20 Meals
698.50 BSD
698.50
BSD
for each
month
Payment Options:
*
Please Select
Bank Transfer
Cash
If "bank transfer" is selected, details will be provided once order is received
Delivery Details:
Delivery Preferences:
*
Monday
Wednesday
Friday
Preferred Delivery Time
*
Please Select
10:30AM- 12PM
12:30PM - 2PM
4PM- 6PM
How did you hear about us?
*
Please Select
Instagram
Facebook
Menopause Workshop
Family, Friend or Colleague
Other
Please Specify
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