Customer Registration

First Name

Last Name

Email

Phone

Street Address

Apt/Suite

Buzz Code / Access Code

City

Province

Postal Code

Do you prefer No Onion/Garlic meals?

Yes No

Select a Plan

Start Date

End Date

Delivery Days

Add-Ons

Roti ($0.50)

Sabji ($6.00)

Rice ($4.00)

Daal ($4.00)

Delivery Notes

Total Estimated Cost: