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)
Delivery day is Tuesday ONLY, however, you can pick up your meals from the Springfield or Edwardsville store anytime during business hours. We dispose of the food after 7 days.
Preferred Start Date
*
MM
/
DD
/
YYYY
Choose a Tuesday ONLY.
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.
