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RebelLicious Order Form for Monday, April 10th
Due to the limited amount of grocery options and overall intensity at the stores, the regular build-a-meal options are currently limited and you may be notified of necessary changes. I thank you for your patience and understanding.
Orders Due by Sunday 10AM.
First Name*
Last Name*
Phone:*
Email:*
It`s my first time ordering!
Welcome to the RebelLicious Meal Prep Family!
Have you had a chance to look at the FAQ on the Prep Page? It has everything you need to know about prepping with me :)
Did someone tell you about us?
Awesome! Please tell us who
We`d love to Thank them
I`m back to order again!
Welcome Back!!!
A little help from the RMP Kitchen:
1) Choose a Protein OR a Carbed Protein
(Carbed Protein is a high carb protein and does not have an additional carb option)
2) Choose your vegetables
3) Choose your Carb
4) Choose how many of that particular meal you`d like
5) Add any special requests for approval
6) Choose how many tupperwares you need to match with your meals
(If under 7 meals, you can choose to do tupperwares individually from the drop down menu)
7) Submit and get ready for Yummy Goodness!
Let`s Build Your Meals!
Meal 1 (400 Calories)
Protein
Green Salad Only - No Vegetable Options
 
1st Vegetable
2nd Vegetable
Carb
If choosing Sweet Potato for several of your meals, please enter amount you would like. Quinoa/Brown Rice Mix will default for meals not chosen.
Special Request?
*Special requests are subject to approval
Would you like another Meal?
Meal 2 (400 Calories)
Protein
Green Salad Only - No Vegetable Options
 
1st Vegetable
2nd Vegetable
Carb
If choosing Sweet Potato for several of your meals, please enter amount you would like. Quinoa/Brown Rice Mix will default for meals not chosen.
Special Request?
*Special requests are subject to approval
Would you like another Meal?
Meal 3 (400cals)
Protein
Green Salad Only - No Vegetable Options
 
1st Vegetable
2nd Vegetable
Carb
If choosing Sweet Potato for several of your meals, please enter amount you would like. Quinoa/Brown Rice Mix will default for meals not chosen.
Special Request?
*Special requests are subject to approval
Would you like another Meal?
Meal 4
Protein
Vegetable
Second Vegetable
Carb
If choosing Sweet Potato for several of your meals, please enter amount you would like. Quinoa/Brown Rice Mix will default for meals not chosen.
Special Request?
*Special requests are subject to approval
This Week`s Extra Tasties (500-600cals)
Asian Chicken Salad
Chicken, mixed greens, spinach, crispy wontons cranberries, mandarin oranges, sesame dressing
$9.00
-
Add Hard Boiled Egg to Salad
$.75
Chicken Stir Fried Udon
Stir fried udon noodles with chicken and mixed veg
$9.50
Mini Fruit Bowl (Seasonal Fruit)
(ex:Apples, Grapes, Pineapple, Blueberries)
$4.00
Mixed Fruit Parfait (Vanilla Yogurt, frozen cherries & fresh fruit)
Topped w/ honey almond granola
$3.75
I need to have Delivery Considered
Delivery to:
Address for Delivery
Please choose the amount of tupperwares to match the amount of meals ordered.
Tupperware Packs
Tupperware Each
Sub-Total:
“RebelLicious” is a novice cooker who enjoys sharing yummy goodness with others from her home-based kitchen. These items are cooked to order and may be provided undercooked. Consuming raw or undercooked meats, poultry, seafood, shellfish, or eggs may increase the risk of foodborne illness. Heating “instructions” are an approximation and may vary based on microwave, watts, temperature, etc. Calorie and nutritional value is an approximation and specific intended results by consumption are not guaranteed.

I have read the above mentioned disclaimers and understand that RebelLicious is just one woman, sharing her passion of delicious healthy eating; she is not responsible for my personal satisfaction, how I store, heat, or eat my meals. I understand that she only cooks for Friends and Family, and am in agreement.
Yes! I understand*