Meals On Wheels Registration / Schedule update
IMPORTANT INFO !
Meal deliveries take place Monday, Tuesday and Thursday, including 3 hot meals 2 cold meals a per week.
We do not offer weekend deliveries.
Please fill out one form for each individual client.
After you fill out this order request, we will contact you to go over details and availability before the order is completed.
If you would like help filling out this form please call 1-250-785-6328
Are you a new or existing customer?
I am a new customer
I am an existing customer
55 years or older?
What is your address?
How many meals a week would you like?
Tuesday / Wednesday
Thursday / Friday
Do you eat fish and/or Shellfish? Click all that apply.
Do you have any Allergies?
Any Dietary constraints?
Delivery Instructions (other than front door)
Choose size and number per color
Preferred contact method
Questions and comments
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This form was created inside of Northern Environmental Action Team.