Tiffin Order Form

Full Name *

First Last

E-mail *

Phone Number(s) *

Address *

Apt #

Zip Code *

City *

State *

Delivery Day

Tiffins are shipped the next day if order is received by 8 PM day before

Tiffin Plan Selection

Subzi Only *

5 Veg 16 oz. ea.: $62

Spice Level - Subzi Only *

Rasoi Ghar *

5 Veg 16 oz. ea./8 Rotis:$66

Spice Level - Rasoi Ghar *

8 Extra Rotis

$7

Rice

16 oz: $4

vegs to charge

Vegs for free

Extra Dish Charge

Please select subzi quantity based on tiffin plan; additional vegetables are $11 ea.

Subzi (Dish) Selection*

Menu changes on a weekly basis

Paneer Dish

Beans or Special Daal Dish

Mixed Vegetable or Specialty Vegetable Dish

Potato Subzi, Carrot Subzi, or Palak Subzi

Home Style Daal or Kadhi Dish

Address

Promo Code

You will be receiving a complimentary Gajar ka Halwa with your tiffin this week. Thanks for choosing Haldi Bay!

Promo Discount Amt

Taxes (7%)

Total

Online Payment

USD Haldi Bay Tiffin

Additional Comments

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