Home Meal Plan Booking Form Home Meal Plan Use this form to request your booking for Power Kitchen's meal prep service. Please provide your name:*Please provide your email address:*Please provide your mobile telephone number:*Please tell us when you'd like your plan to start:*Please note, start date must be either a MONDAY or a THURSDAY, and we need at least 3 days notice.Number of meals per day*Please choose the number of meals you'd like per day as part of your Home Meal Plan.Silver - 1 meal a daySilver Plus - 2 meals a dayGold - 3 meals a dayPlatinum - 4 meals a dayNumber of days per week*Please choose the number of days per week that you'd like your Meal Plan to run for.5 days per week (Mon-Fri)6 days per week (Mon-Sat)OtherChoose your dietary requirements/goals...*Please tick the option which best suits your preferences/goalsLower Carb - good for weight lossKeto - very low carb/high fatClean Carbs - good for maintaining or bulkingPaleo - grain free (no pasta/rice, plant based carbs such as sweet potato and root veg)VegetarianVeganDo you have any ALLERGIES or strong dislikes?*Please advise which of the meals on our menu you'd like including in your plan.*Please tick ALL of the meals that you think you would enjoy and would like to include for selection in your Meal Plan. Our specials menu works on a three week rolling rota, so you should choose at least ONE special dish from each week to include sufficient variety in your plan. From your selection, we will put together a balanced selection of meals for you prepared to suit your specified goals. Week One: Paleo Meatballs Week One: Kung Pao Chicken Week One: Pork Chilli Week One: Spicy Fajita Steak Week Two: Three Pepper Bolognaise Week Two: Mild Chicken Curry Week Two: Beef Bourguignon Week Two: Peppercorn Lasagna Week Three: Salt & Pepper Chicken Week Three: Sweet Chilli Steak Week Three: Keto Cottage Pie Week Three: Pork Chilli Balls Veggie box with fillet steak Veggie box with roast chicken Veggie box with cod in parsley butter Veggie box with halloumi Veggie box with tofu Veggie box with prawns Veggie box with cauli cheese Veggie box with garlic & herb mushrooms Salad box with chicken Salad box with feta cheese Vegan salad box Vegan Special - Coconut Dahl Vegan Special - Three Bean Chilli Vegan Special - Red Lentil Arrabiatta Vegan Special - Soy Stir Fry Vegetarian Cheese Pie Breakfast option - Eggs and greens Breakfast option - Gluten free cinammon oats Power Ups (add-ons exclusive to Meal Prep customers)Choose your Power Ups - our specialist add-ons offered only to meal prep customers at lower prices than in store. Our Power Ups will will help you achieve your dietary goals, be this bulking, ketosis, improved gut health or sticking to your diet with the help of clean treats. Probiotic Power Up : Kefir. 5 250ml bottles £9.95 Probiotic Power Up: SCD Yoghurt. 2 500ml jars £9.95 Protein Power Up: 5 bottles for £9.95 Paleo Power Up: Bone broth. 4 500ml trays £11.95 Keto Kickstart: Exogenous ketone drink £4.50 Clean Treat Power Up: Cakes 5 for £11.95 Clean Treat Power Up: Power Bombs 10 for £5 Please provide any additional information that you feel is relevant to your Meal Plan:COLLECTION - Available ONLY from our Wigan restaurant, 11-12.30 Sundays or 9-2.30 Weekdays. If these times dont suit, please advise times you're able to collect and we will advise whether alternative arrangements will be possible.*Member of staff who helped with application.Please make a note of the member of Power Kitchen staff who advised you on options or helped you complete your booking form.