Name *

First Name

Last Name

Phone *

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose 2 Protein Choices

Chicken (Surcharge due to price increases)

Salmon (Surcharge due to price increases)

Shrimp (Surcharge due to price increases)

Ahi Tuna

Turkey

Beef

Choose 2 Veggies

Broccoli

Asparagus

Spinach Sautéed

Smoked Kale with Turkey ($5 up charge)

Parmesan Zucchini

Vegetable Melody (Red Cabbage, Peppers, Mushrooms & Onions)

Green Beans

Green Bean Melody (Green Beans, Mushrooms, Peppers & Onions)

Choose 2 Carbs

Baked Sweet Potato

Sweet Potato Mashed

Brown Rice

Cilantro Jasmine Rice

Meatless Spaghetti (Red Sauce Special)

Baked Potato with trimmings: salt, pepper, cheese & butter

Mashed Potato

Specialty Items (these items are an additional cost)

Jambalaya (Chicken, Beef Sausage, Brown Rice, Vegetable Mix) $12

Jambalaya (Chicken, Shrimp, Beef Sausage, Brown Rice, Vegetable Mix) $15

Chicken Stir Fry $8

Beef Stir Fry $10

Lasagna $15

Meatless Jambalaya $12

Meatless Lasagna $15

Avocado Spaghetti $12

Vegetable Stir Fry $10