Lunchbox Order Form Your name Your email Mobile telephone number We only use this if we need to check any details on your order. It will not be used for marketing or any other purposes. Lunchboxes Choose from Number required Plant-based Vegan £4.50 each —Please choose an option—12345678910 Plant-based with Chicken £5.00 each —Please choose an option—12345678910 Plant-based Low-Calorie £4.50 each —Please choose an option—12345678910 Plant-based Gluten Free £4.50 each —Please choose an option—12345678910 Plant-based with Fish £5.50 each —Please choose an option—12345678910 Plant-based High Protein £6.00 each —Please choose an option—12345678910 Allergens Whenever we prepare our food, including Vegan and Gluten Free meals, we use many ingredients and shared equipment. While cross contamination is managed, we cannot guarantee that our food production is to an allergen-free level. Please also check the additional notes on allergens at the bottom of this Order Form. Please note that we change the contents of our lunchboxes on a regular basis. This enables us to make use of seasonal and local ingredients, and provide variety for customers. This may include the way we prepare chicken and fish (where ordered) and the ingredients we use for the rest of the lunchbox contents. If you have any questions regarding this, please inform us using the Other Information box below, or call James on 07712 285774. Container Choice (Mark as appropriate) Plastic - FREECompostable - 50p Date Required (Please allow at least 2 days notice for Lunchbox Orders.) Delivery or Collection?Please deliverI will collect Address (If delivery is required) Payment Once you have completed the form and submitted it to us, we will contact you via your mobile phone number or email, to check the order and arrange for secure payment. Allergen Information The Food Standards Agency regards the following ingredients and their derivatives as allergens: Peanuts, Nuts, Fish, Eggs, Crustaceans, Sesame Seeds, Milk, Soybeans, Celery, Mustard, Lupin, Molluscs, Cereals containing Gluten, and Sulphites. If you have any questions or concerns regarding our food and allergens, please contact the owner of The Clean Meal Company, James Morgan, on 07712 285 774, or via email to firstname.lastname@example.org. Helping Us Spread The Word Our Lunchbox business has largely grown by word-of-mouth referrals. If you enjoy our Lunchboxes, please let us and other people know by posting a review on our Google Review page, our Facebook profile, our Instagram profile, or any local Facebook groups whose members may be interested in what we do. As a local business, we really appreciate your support.