Frozen Meals Order Form

Name

Phone No

ORDER FORM FOR DELIVERY ON:

(Delivery Thursday only from 8.30am – 12.30pm)

Meals will not be delivered if you are not home. Orders must be placed by 12 noon on Tuesday for delivery on the following Thursday.

Delivery Date

*Please Enter Thursday Date Only*

DIETARY REQUIREMENTS:

We can provide you with a list of meals and ingredients. Frozen meals have ingredients listed on packaging.
If our menu doesn’t meet your preferences, cultural or dietary needs please tell us and we will provide you with a list of organisations who may be able to cater for your specific needs.

Please write any dietary requirements (preferences, cultural or dietary)

Dietary Chart

GF – Gluten Free •> DF – Dairy Free •> NF - Nut Free •> V – Vegetarian •> S – Contains Seafood

MENU ITEMS

(please record the number of meals in each box)

Beef and pork rissoles & paprika potatoes, peas, onion, gravy – GF, DF, NF

Beef meatballs & pasta, Napoli sauce, parm cheese, broccoli, carrot, capsicum, corn, sugar snap peas – NF

Butter chicken with white rice – NF

Corned beef & grain mustard sauce, mashed potatoes and roast pumpkin – NF

Crumbed Chicken Schnitzel - mushroom sauce, sauté potatoes, carrots – NF

Cottage pie & vegetables (broccoli, cauliflower, carrots) – NF

Chicken and mushroom pie with green beans, sautéed potato – NF

Chicken casserole with bacon, mushroom, roast potatoes, pumpkin puree – NF

Irish lamb stew with potato, green beans (diabetic friendly) – GF, DF, NF

Pumpkin, spinach & ricotta lasagne with baby corn, cauliflower, broccoli, carrots – V, NF

Roast pork with gravy, roast potatoes, pumpkin – GF, DF, NF

Steamed fish & parsley sauce, buttered potatoes, steamed vegetables – NF, S

Mixed seasonal frozen vegetables (1kg) $4.50

Delivery Options

I will collect from Cooinda

I would like home delivery - please provide address below

Address For Delivery

Are you lodging this form on behalf of someone else?

Yes - please provide further information below

No

Please provide further information - Eg. If you are a staff member, please specify your name and date of phone call

Cost: $7.00 per meal

Payment: You will be invoiced monthly, payment options BPay, Direct Debit, Credit Card (over the phone).

Please phone 8375 6649 if you have any queries regarding your order.

Delivery is every Thursday

COVID-19 MEASURES

Volunteers will phone you shortly before your meals are delivered.

Volunteers are observing the required social distancing of 1.5–2 meters.

Volunteers may be wearing face masks depending on current COVID-19 requirements.

Meals will be placed on your doorstep and volunteers will return to the vehicle.

Volunteers must observe you taking meals inside.

Please ensure you store and reheat meals according to instructions.