weekly takeaway Name *FirstLastEmail *Phone *Pick Up Location *51 W. Huron St. (Gold Coast Location)Date / Time For Pick Up *DateTimeSelect 3-5 Juices / Smoothies *Green JuiceCelery JuiceRed Cabbage JuiceCoconut WaterGinger ElixirTurmeric ElixirMaca Picchu SmoothieCoco Maca Loco SmoothieSpirulina Grapefruit SmoothieAll in One SmoothieGoji Berry Bliss Smoothie2:30 Pick Me Up SmoothieMinty Fresh Green SmoothieCinnamon Crunch SmoothieMorning Buzz SmoothieSelect 3-5 Breakfast Items *Apple Cinnamon ParfaitReally Raw OatmealBlueberry Protein OatsFruit on the Bottom ParfaitEnergy SoupCinnamon RollsCranberry MuffinCarrot MuffinSignature GranolaChocolate Cayenne GranolaBliss BarsHazelnut BiscottiSelect 4-5 Entrees *Chicago Raw RollsChili CroquettesCollard BurritoEmpanada PlatterFresh Spinach LasagnaGarden BurgersChicago Style PizzaRaw RaviolisSpaghetti and "Meatballs"Ride the WaveWild Wild RiceTuna Pate SandwichFalafel SandwichSelect 2-4 Salads *Mini Collard SaladMini Kale SaladKale SaladLiving SaladMini Living SaladSelect 1-2 Spreads *Fresh Basil Hazelnut PestoSprouted HummusMock Tuna PateCashew Sour CreamSelect 1-3 Dehydrated Snacks *Kale ChipsSweet Potato ChipsAlmond CrackersGarlic StixOnion CrispiesSpicy Nut & Seed MixOnion FlatbreadRye FlatbreadPoppyseed FlatbreadSelect 2-4 Desserts *Apple PieCarrot CakeLemon SquareMint SquarePolly's BrownieSlice of HeavenTiramisuMousse au ChocolatMint Crunch Truffles (2)Coconut Cacao Truffles (2)Pina Colada CheesecakeCoconut MacaroonsChocolate Decadent WafersKitchen Sink CookiePlease list any add ons or special notes:Total$ 0.00Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2021222324252627282930PhoneOrder Order must total $175 or more Through ordering Weekly Takeaway, you will automatically receive 10% off your entire order
