EmailMeForm
Meal Plan Sign-Up
Please fill out the form below and select your Meal Plan.
A confirmation email will be sent to you after completion. Your confirmation e-mail will have directions for the option to create your own menu.
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
*
###
-
###
-
####
Email
*
Please make sure you type in proper e-mail. Your confirmation and instructions to customize your menu goes to the email address you input.
Select Your Meal Plan
*
Please select
20 Meals/wk $140-$145/wk
28 Meals/wk $160-$170/wk
5 Meals/wk(300 calories) $45/wk
5 Meals/wk (450 calories) $55/wk
10 Meals/wk (300 calories) $80/wk
10 Meals/wk(450 calories) $100/wk
7 Meals/wk (300 calories) $60/wk
7 Meals/wk (450 calories) $70/wk
14 Meals/wk (300 calories) $110/wk
14 Meals/wk (450 calories) $120/wk
Allergies? Dislikes? Comments? Please Specify.
We can only accommodate certain substitutions.
We will contact you if we see something we cannot accommodate.
Pick Up or Delivery
*
Pick Up - 3047 Hedley Springfield
Pick Up - 2329 Plum St Edwardsville
Delivery ($15 weekly) for orders within a 40 mile radius of Springfield, il (Some exclusions may apply)
Delivery ($15 weekly) for orders within a 40 mile radius of Edwardsville, il (Some exclusions may apply)
Start Day
*
Tuesday
Friday
(Pick Up/Deliveries are on Tuesday and Friday)
Preferred Start Date
*
MM
/
DD
/
YYYY
Choose a Tuesday or Friday at a future date
Promo Code:
Billing Details
Enter your debit/credit card for weekly payments.
Name on Card
*
Credit Card
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
My billing address is the same as my shipping address
Yes
No
Billing Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
I authorize Just Right Eating to charge my card for the meal service selected above:
*
Yes, I authorize.
I understand this program requires a minimum 4 week commitment. After that I may cancel at anytime. My card will be charged weekly until I fill out the suspension/cancellation form to cancel service.
*
Yes, I understand.
I understand that if I need to suspend/cancel/change meal plan service I will provide notification via "suspension/cancellation/change meal plan form",which is on our website under "forms and info", by noon (12 p.m.) the Friday before I need suspension of service/cancellation to avoid further charges.
*
Yes, I understand.
I understand that my insulated bag must be returned at next delivery or pick up. Disposable bags do not need to be returned.
*
Yes, I understand.
