Phone Me I would like further information or would like to signup on the phone.
Current Customers I am a returning customer of Healthy Diet Delivery.

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Delivery Information
First Name
Last Name
Address (con't)
Closest Major Intersection
Postal Code
Day Phone ext.
Evening Phone
Select Your Program
We offer 3 plans for your convenience where you can select service for 3, 5 or 6 days per week.

Meal Size
Meals per Day
Diet Type
I would like to sign up for
Start date
Days I would like service

2 Deliveries - 6 Days - Monday to Saturday
2 Deliveries - 5 Days - Monday to Friday
1 Delivery - 3 Days - Monday to Wednesday
1 Delivery - 3 Days - Thursday to Saturday
Payment Options
Credit Card Type  
Name On Card  
Credit Card Number  
Expiration Date / (mm/yyyy)  
  Security Code (last 3 digits after card number on back of card)  
I have read and understand the delivery policy for damage and theft and agree to the cancellation policy.
I also agree to get email notifications from time-to-time.
Damage and Theft Policy Healthy Diet Delivery will assume the responsibility for the theft or damage of 1 deliveries worth of food under the following conditions.
1) the drop off location is mutually agreed upon.
2) for deliveries to outside locations, a plastic tote/bin (with a lid)or the equivalent is provided by the customer for the Healthy Diet Delivery cooler to be placed inside.
I do not have any life threatening allergies.
I understand that I should consult my physician before starting any meal program.
DisclaimerThis program is not intended to replace medical advice. If you are under the care of a physician and/or take medications for diabetes, heart disease or hypertension, consult with your health care provider prior to initiation of this or any dietary program. Implementation of this dietary program may require altercation in your medication needs and must be done by or under the direction of your physician.