April - IVC Care Kitchen Selections

April - IVC Care Kitchen Selections
This is your order form for meals that will be delivered on THURSDAY, April 3 between 12:30 and 1:15 pm. Your delivery driver will call you on Wednesday (4/2) to confirm that you will be home to accept the meals. Please complete this form by Friday March 28 @ 6:00 pm.
Instructions:
1) Complete all * fields. 2) At the bottom (MENU SELECTIONS), choose your meals. 3) If you cannot complete this form, call Jackie or Katie at IVC: 206-842-4441 by end of day Friday, March 28. ** Please complete the quick survey at the end **
Name*
First NameLast Name
Phone Number*
Delivery Address*
Please include apartment #'s
Street Address Line 2
CityState / Province
Postal / Zip Code
Special Delivery Instructions - If you will not be home to accept meals, please tell us where you will leave a cooler. (Meals cannot be left without a cooler.)
MENU SELECTIONS
Select the meals you would like - click the arrow to choose the quantity. Choose a total of four (4) items per person. You may choose any variation up to 4 meals (single household) or 8 meals (dual household).
1 - Meatloaf with Corn Casserole
Classic American Meatloaf, Onions, Garlic, Corn, Cream (soy, dairy) - Use or Freeze by Monday, April 7
2 - Hawaiian BBQ Chicken Wraps
Lettuce, Red Onion, Pineapple, Cilantro, Mild BBQ Sauce (soy, dairy free) - Use or Freeze by Monday, April 7
3 - Barley and Smoked Salmon Bake
Pearl Barley, Smoked Salmon, Parsnips, Onion, Carrots, Celery (soy free) - Use or Freeze by Monday, April 7
4 - Vegetarian Chili
Black Beans, Bell Peppers, Corn, Tomatoes, Garlic, Onion, Spices (mild) (dairy, soy, gluten free, vegetarian) - Use or Freeze by Monday, April 7
Use the dropdown arrows to select the number of meals you would like. For a single household, the total will be up to 4. For a household with two people, the total will be up to 8.
Tell Us How You're Enjoying the Meal Program
On a scale of 1-5 what is your overall rating of the meals. (quality, taste, variety)

1 - 5 stars
On a scale of 1-5 how impactful have these meals been for you?

1 - 5 stars
We would love any feedback, comments, or suggestions! Thank you.
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April - IVC Care Kitchen Selections

Tell Us How You're Enjoying the Meal Program