JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Delivered Dish of the Week (DDoW) Order Form
New online ordering of Delivered Dish of the Week (a One Dish at A Time service). If you have feedback on the form or ordering process, please share it with me. Thank you!
There is a 2-quart minimum order for any single destination. Delivery fee is an additional $3.50, therefore, a typical fee is $23.50. Deliveries are made Tue- Thu within metro area only.
For more info on One Dish at A Time services, please see
www.onedish.wordpress.com
and subscribe to my blog. For the latest news & tips on cooking healthfully, follow One Dish at A Time on Facebook and Twitter (@onedishatatime).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Cell Phone Contact
*
Please provide mobile # in case I need to leave last-minute messages regarding deliveries or other urgent matters.
Your answer
Email Contact
*
Your answer
Street Address
*
Include Suite # and Cube # if this is an office
Your answer
City
*
Your answer
Name of Your Neighborhood
*
For example, Seward, Nokomis, Highland Park, Como. This helps me 'sort' by area.
Your answer
Special Delivery Instructions
If this is not to be delivered to a single-family dwelling, please provide detailed instructions to your office /cube/ apt. For example: take elevator to 3rd floor Suite 310, enter & go left to staff pantry and deposit in refrigerator. Or, if a house, " leave in cooler on the back porch".
Your answer
Office Hours
If delivery to your office, pls specify hours the office is open M-F. For example, "8am - 5pm, lobby door auto-locks at 5pm."
Your answer
How would you like to be notified about deliveries?
For instance if you are to pick it up at the reception desk or if delivery will be late.
by email
by text
by voicemail
no notification required
Other:
Food Intolerances/ Dietary Needs
vegan
omnivore
no dairy
no gluten
no refined sugar
no soy
no nightshade vegetables
prefer paleo diet (low carb)
don't like spicy
Other:
How did you hear about One Dish at A Time?
Referred by a friend (please provide name so I can thank them!)
Email Newsletter
LinkdIn
Facebook
Twitter
www.onedish.wordpress.com
Attended cooking demo / sampling event
Attended a meal you catered
Took your cooking class
Other:
Delivered Dish of the Week: Nov 5-10 Ordering Deadline FRI Nov 2
Garbanzo Bean & Veggie Salad in Mint Vinaigrette (gluten-free, soy-free, vegan)
*
Garbanzo beans, purple cabbage, green tomatoes, cucumbers, sweet peppers, onions, garlic, olive oil, white wine vinegar, lemon juice, fresh mint, parsley, spices.
1 pint $5
1 quart $10
2 quarts $20
none
Samosa Pie (gluten-free, vegan, contains soy)
*
TVP (soy product), potatoes, peas, carrots, onions, garlic, Pamela's gluten-free crust mix, olive oil, curry spices, veggie broth.
1 mini-loaf $5
1 quart-size loaf $10
1 round pie $18
none
Nov 12-17 2012 Ordering Deadline FRI Nov 9
Jamaican Jerk Millet & Beans (gluten-free, soy-free, vegan; medium spicy)
*
Millet, red beans, onions, red bell pepper, veggie broth, jerk spice mixture (primarily thyme, cloves, green onions, hot pepper).
1 pint ($5)
1 quart ($10)
2 quart ($20)
none
Salade Nicoise with Dijon vinaigrette (gluten-free, soy-free, vegan)
*
boiled potatoes, green beans, radishes, olives, red onion, olive oil, white wine vinegar, Grey Poupon dijon mustard, herbs, spices.
1 pint $5
1 quart $10
2 quart $20
none
Nov 19-24 Ordering Deadline FRI Nov 16
THANKSGIVING! Both dishes are excellent complements to Holiday Tables and also take care of your vegan guests. Plus, they keep more than a week.
Roast Beets & Lentil Salad in Balsamic Vinaigrette (gluten-free, soy-free, vegan)
*
Organic brown lentils, roasted local beets, celery, red onion, parsley, garlic, celery seed, balsamic vinegar, organic red wine vinegar, olive oil.
1 pint $5
1 quart $10
2 quart $20
none
Quinoa Mushroom Pilaf (gluten-free, vegan)
*
A good alternative to stuffing and butter-laden mashed potatoes. Miso will add depth, but, if you'd like a soy-free version, check the appropriate box.
soy-free please
1 pint $5
1 quart $10
2 quart $20
none
Required
Nov 26 - Dec 1 Ordering Deadline FRI Nov 23
DETOX WEEK: reset your system with clean foods and high fiber.
Green Yam Soup (gluten-free, soy-free, vegan)
*
Pureed yams, kale/collards/spinach, caramelized onions, veggie broth, olive oil and sage, spices.
1 pint ($5)
1 quart ($10)
2 quart ($20)
none
Curried Barley & Veg Salad with Cranberries (vegan, soy-free; contains gluten)
*
Hulled barley, purple cabbage, other crunchy veg, red & green onion, dried cranberries, garlic, olive oil, white wine vinegar, curry spices.
1 pint $5
1 quart $10
2 quart $20
none
Method of Payment
*
Paypal (account
tracyksyue@yahoo.com
)
check via post to One Dish at A Time, 403 Minnehaha Ave East, St Paul, MN 55130-4208
check left at my front door/ office door
I have prepaid already
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms