Please fill out the form below by 3 p.m. Saturday to guarantee you will receive your Lean Green Cuisine Meals the following Monday.  

(PLEASE NOTE:  If you do not immediately receive an automated email confirmation after placing your order, please call 479-443-2327 before 3 p.m. Saturday.)

Also, please note:  We're still having issues with order forms not being accepted.  Please feel free to call 479-443-2327 between the hours of 9 a.m. and 9 p.m. to place your order.  I'll continue working with the website builder to amend this problem.  I apologize for your inconvenience.

* Required fields
Name *
E-mail Address *
Best Daytime Phone # *
Street Address
City
Zip Code
Select for first-time customer:	First-time customer
How Did You Hear About Us?
Select one: *	Pickup Delivery
Directions for Delivery (detailed and include mileage)
Select: *	Standard ($70 for 24-oz containers) Double ($130 for 24-oz containers) Half ($47 for 12-oz containers) Choose 4 ($39 for 24-oz containers) Choose 4 ($23 for 12-oz containers) A la carte ($10.50/24-oz/specify choices below) A la carte ($6.50/12-oz/specify choices below)
List any changes in your order here (example: No #3 but give me 2 X #6 or list the four dishes for Choose 4).
	Check for coupon/gift certificate
	Do You Need Us to Supply a Cooler (extra $4)
How Would You Like to Pay? Cash, Check, or credit/debit card. If you are using a Credit Card for delivery, please call in your C.C.# by 5pm Saturday. *

I have read and agree to the Privacy Policy *

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Lean Green Cuisine of Arkansas

908 East Rolling Hills Drive, Suite D, Fayetteville, AR 72703

(479) 443-2327   leangreencuisine@gmail.com