FILL MY FREEZER
- order form -

First name

Last name

Phone

Physical Address

Please list any dietary preferences and/or restrictions (i.e. gluten free, dairy free, nut free, etc.):

Please select two (2) snacks:

Carrot Ginger Muffins (12) (DF, V, GF, NF)

Blueberry Zucchini Muffins (12) (DF, GF)

Chocolate Chip Lactation Cookies (18) (GF)

Sunflower Flax Energy Bites (18) (DF, V, GF)

Chocolate Chip Energy Bites (18) (DF)

Please select two (2) main dishes:

Golden Mama Healing Stew (2L) (DF, GF)

Butternut Squash Soup (2L) (GF)

Broccoli Cheddar Soup (2L)

Heal in a Curry (1L, serve over quinoa or rice) (DF, V, GF, GrF, NF)

Warming Chilli (2L) (DF, GF, GrF)

Comments or Special Requests (ex. "Please make Butternut Squash soup vegan, if possible"):

I understand these items are prepared in a home kitchen that is not subject to inspection.

I understand all efforts will be made to avoid cross-contamination in the event of gluten or allergy restrictions, but know this cannot always be guaranteed and accept the possible risks.

I understand I may be subject to mileage fees for delivery if outside Edmonton and area (Fort Saskatchewan, Sherwood Park, Beaumont, Leduc, Devon, Spruce Grove, and St. Albert).

I am subject to mileage fees. I would prefer pick-up instead of delivery to avoid this fee.

I am NOT subject to mileage fees, but would prefer pick-up instead of delivery.

Signature

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FILL MY FREEZER - order form -

FILL MY FREEZER
- order form -