Call us on: 088 00 17 121

Sign up for Meal service

Why would you like to use the Meal Service? *
Salutation *
Initials *
Name *
Date of birth *
Date of birth
Street name *
House number *
Postal Code *
Place of residence *
Phone number *

You can fill in the details of a possible contact person later

Email address *
Who completes this application? *

You are requesting this service for someone else. To prevent problems, it is important that the client understands the request and can reschedule or cancel appointments if necessary. Is the elderly person no longer able to do this properly? Then we strongly request that you provide us with yourself or another person involved as a contact person.

Would you like to get in touch? *

A contact person is not mandatory. However, there are situations in which we would like to get in touch with a contact person. For example, when the meal driver is standing in front of a closed door or there are other reasons for concern. Do you have someone we can call in such situations? Then fill in the details of this person.

Contact person name *
Contact person phone number *
Contact person email address *
Relationship to the customer?
Namely..
one of the required fields is still empty

I would like meals for the following days:

I would like meals for the following days:

Sunday's meal will be delivered on Saturday.

one of the required fields is still empty

I choose:

I choose:

Would you like an extra large portion of 'potatoes' and vegetables as standard?

I always choose an extra large portion of potatoes'I always choose an extra large portion of 'potatoes' and vegetables
one of the required fields is still empty

Are there any special dietary requirements?

Dietary requirements
Explain wishes
one of the required fields is still empty
Other wishes:
one of the required fields is still empty

Menu dropdown list or Standard menu?

Menu dropdown list or Standard menu?

Effective Date:

Select start date
If you submit your order before 10am, we can deliver your meal the next business day

Who should we contact for this request if necessary?

Who should we contact for this request if necessary?
one of the required fields is still empty

Do you have a microwave yourself?

I have a microwave myself *
If you do not have a microwave yourself, you can borrow one for free as long as you purchase meals from us

Would you like to borrow a microwave?

I would like to borrow a microwave

Do you hear the doorbell?

Do you hear the doorbell? *

Can you open the door yourself?

I can open the door for the delivery person myself *

Then you can give the delivery person a key to deliver the meal to you. In that case, we will draw up a key contract with you.

Other details for delivery

By submitting this form the customer agrees to the registration of personal data for the purpose of providing services.

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Need help? We'll call you back

Enter your telephone number and we will call you back within one day.

Prefer to call yourself?

We are available on working days between 09.00 am and 3:00 p.m.
Call us on 088 00 17 121

Sign up for Meal service

Why would you like to use the Meal Service? *
Salutation *
Initials *
Name *
Date of birth *
Date of birth
Street name *
House number *
Postal Code *
Place of residence *
Phone number *

You can fill in the details of a possible contact person later

Email address *
Who completes this application? *

You are requesting this service for someone else. To prevent problems, it is important that the client understands the request and can reschedule or cancel appointments if necessary. Is the elderly person no longer able to do this properly? Then we strongly request that you provide us with yourself or another person involved as a contact person.

Would you like to get in touch? *

A contact person is not mandatory. However, there are situations in which we would like to get in touch with a contact person. For example, when the meal driver is standing in front of a closed door or there are other reasons for concern. Do you have someone we can call in such situations? Then fill in the details of this person.

Contact person name *
Contact person phone number *
Contact person email address *
Relationship to the customer?
Namely..
one of the required fields is still empty

I would like meals for the following days:

I would like meals for the following days:

Sunday's meal will be delivered on Saturday.

one of the required fields is still empty

I choose:

I choose:

Would you like an extra large portion of 'potatoes' and vegetables as standard?

I always choose an extra large portion of potatoes'I always choose an extra large portion of 'potatoes' and vegetables
one of the required fields is still empty

Are there any special dietary requirements?

Dietary requirements
Explain wishes
one of the required fields is still empty
Other wishes:
one of the required fields is still empty

Menu dropdown list or Standard menu?

Menu dropdown list or Standard menu?

Effective Date:

Select start date
If you submit your order before 10am, we can deliver your meal the next business day

Who should we contact for this request if necessary?

Who should we contact for this request if necessary?
one of the required fields is still empty

Do you have a microwave yourself?

I have a microwave myself *
If you do not have a microwave yourself, you can borrow one for free as long as you purchase meals from us

Would you like to borrow a microwave?

I would like to borrow a microwave

Do you hear the doorbell?

Do you hear the doorbell? *

Can you open the door yourself?

I can open the door for the delivery person myself *

Then you can give the delivery person a key to deliver the meal to you. In that case, we will draw up a key contract with you.

Other details for delivery
By registering you agree to the General Terms and Conditions