How do you receive your meals?
Pickup from a local distributor
Mail Order
Which Menu?
Regular
Vegetarian
Regarding
the new 5th
plan, please
apply the
following:
-
I
OPTION
A:
I
would like to get
a customized
2, 3, or 4 day
meal plan and
would like the
new cycle to
reflect the
same amount of
meals.
-
I
OPTION
B:
I
would
like you to
make these
specific
changes:
OPTION
C:
Please
apply the menu
changes below
to Week
5
(see the menu
changes form)
Change 1
Replace this meal (only one change per box below)
With this meal from the Substitution Menu
BREAKFAST
Plain Bagel
Cinnamon-Raisin Bagel
Pancakes - Apple or Blueberry Depending on the week
Waffles
LUNCH
Smoked Chicken Sandwich
Pastrami on Rye
Deluxe Turkey Sandwich
Grilled Vegetable Sandwich
Black Bean Soup
Grilled Cheese
Grilled Ham and Cheese
Southwestern Sandwich
Peanut Butter and Jelly Sandwich (local pickups only)
Chicken Burger Sandwich
Green Salad (local pickup only)
Tomato Meltover
DINNER
Stuffed Shells with Tomato Sauce
Turkey Salisbury Steak
Eggplant Parmesan
Tomato Vegetable Casserole
Sliced Turkey Dinner
Cioppino Seafood Medley
Johnny's Veggie Pizza
Chicken Parmesan
Whitefish Parmesan
Chugwater Chili
Indian Turkey Tenderloin
Asian Flat Iron Steak
Turkey BBQ Melts
Replace this meal with a meal from your current plan or Special Dinner
Change
2
Replace this meal (only one change per box below)
With this meal from the Substitution Menu
BREAKFAST
Plain Bagel
Cinnamon-Raisin Bagel
Pancakes - Apple or Blueberry Depending on the week
Waffles
LUNCH
Smoked Chicken Sandwich
Pastrami on Rye
Deluxe Turkey Sandwich
Grilled Vegetable Sandwich
Black Bean Soup
Grilled Cheese
Grilled Ham and Cheese
Southwestern Sandwich
Peanut Butter and Jelly Sandwich (local pickups only)
Chicken Burger Sandwich
Green Salad (local pickup only)
Tomato Meltover
DINNER
Stuffed Shells with Tomato Sauce
Turkey Salisbury Steak
Eggplant Parmesan
Tomato Vegetable Casserole
Sliced Turkey Dinner
Indian Turkey Tenderloin
Cioppino Seafood Medley
Johnny's Veggie Pizza
Chicken Parmesan
Whitefish Parmesan
Chugwater Chili
Asian Flat Iron Steak
Turkey BBQ Melts
Replace this meal with a meal from your current plan or Special Dinner
Change 3
Replace this meal (only one change per box below)
With this meal from the Substitution Menu
BREAKFAST
Plain Bagel
Cinnamon-Raisin Bagel
Pancakes - Apple or Blueberry Depending on the week
Waffles
LUNCH
Smoked Chicken Sandwich
Pastrami on Rye
Deluxe Turkey Sandwich
Grilled Vegetable Sandwich
Black Bean Soup
Grilled Cheese
Grilled Ham and Cheese
Southwestern Sandwich
Peanut Butter and Jelly Sandwich (local pickups only)
Chicken Burger Sandwich
Green Salad (local pickup only)
Tomato Meltover
DINNER
Stuffed Shells with Tomato Sauce
Turkey Salisbury Steak
Eggplant Parmesan
Tomato Vegetable Casserole
Sliced Turkey Dinner
Indian Turkey Tenderloin
Cioppino Seafood Medley
Johnny's Veggie Pizza
Chicken Parmesan
Whitefish Parmesan
Chugwater Chili
Asian Flat Iron Steak
Turkey BBQ Melts
Replace this meal with a meal from your current plan or Special Dinner
Change 4
Replace this meal (only one change per box below)
With this meal from the Substitution Menu
BREAKFAST
Plain Bagel
Cinnamon-Raisin Bagel
Pancakes - Apple or Blueberry Depending on the week
Waffles
LUNCH
Smoked Chicken Sandwich
Pastrami on Rye
Deluxe Turkey Sandwich
Grilled Vegetable Sandwich
Black Bean Soup
Grilled Cheese
Grilled Ham and Cheese
Southwestern Sandwich
Peanut Butter and Jelly Sandwich (local pickups only)
Chicken Burger Sandwich
Green Salad (local pickup only)
Tomato Meltover
DINNER
Stuffed Shells with Tomato Sauce
Turkey Salisbury Steak
Eggplant Parmesan
Tomato Vegetable Casserole
Sliced Turkey Dinner
Indian Turkey Tenderloin
Chesapeake Seafood Stew
Johnny's Veggie Pizza
Chicken Parmesan
Whitefish Parmesan
Chugwater Chili
Asian Flat Iron Steak
Turkey BBQ Melts
Replace this meal with a meal from your current plan or Special Dinner
Change 5
Replace this meal (only one change per box below)
With this meal from the Substitution Menu
BREAKFAST
Plain Bagel
Cinnamon-Raisin Bagel
Pancakes - Apple or Blueberry Depending on the week
Waffles
LUNCH
Smoked Chicken Sandwich
Pastrami on Rye
Deluxe Turkey Sandwich
Grilled Vegetable Sandwich
Black Bean Soup
Grilled Cheese
Grilled Ham and Cheese
Southwestern Sandwich
Peanut Butter and Jelly Sandwich (local pickups only)
Chicken Burger Sandwich
Green Salad (local pickup only)
Tomato Meltover
DINNER
Stuffed Shells with Tomato Sauce
Turkey Salisbury Steak
Eggplant Parmesan
Tomato Vegetable Casserole
Sliced Turkey Dinner
Indian Turkey Tenderloin
Cioppino Seafood Medley
Johnny's Veggie Pizza
Chicken Parmesan
Whitefish Parmesan
Chugwater Chili
Asian Flat Iron Steak
Turkey BBQ Melts
Replace this meal with a meal from your current plan or Special Dinner
Comments:
(H) Phone:
(W) Phone:
(Please give us a phone number where we can contact you in case we have a question about your request.)
Best contact:
Day
Time
Fax: