Ideal Protein Order Form Pick-Up

We will call you when your order is ready for pick-up


First Name:

Last Name:

Email Address:

Phone Number:

Credit Card Details:

Expiration Date:

Drinks R Gluten Free QTY in Units
Orange Drink Gluten Free
Chocolate Drink Gluten Free
Cappuccino Drink Gluten Free
Wildberry Yogurt Drink Gluten Free
Blueberry, Cranberry, Pomegranate Drink Gluten Free
Peach and Mango Drink Gluten Free
Vanilla Drink Gluten Free
Breakfast R Gluten Free Qty
Crispy Cereal
Maple Oatmeal Gluten Free
Apple Oatmeal Gluten Free
Chocolate Pancake Mix
Fine Herb and Cheese Omelette Gluten Free
Mug Cake Chocolate
Lunch R Gluten Free Qty
Couscous Risotto
Chicken Soup Gluten Free
Vegetable Chilli R
Mushroom Soup Gluten Free
Tomato and Basil Flavoured Soup
Broccoli and Cheese Flavoured Soup Mix Gluten Free
Potato Puree Mix Gluten Free
Chicken Noodle Soup Mix
Chicken Flavoured Patty Mix
Chicken a la King Flavoured Pottage Mix
Rotini Pasta
Macaroni and Cheese
Ready Made R Gluten Free Qty
Strawberry Flavoured Drink (Ready Made)
UHT Cappuccino Drink (Ready Made)
UHT Vanilla Drink (Ready Made)
UHT Chocolate Drink (Ready Made)
Snacks & Desserts R Gluten Free Qty
Dark Chocolate Pudding Mix Gluten Free
Vanilla Pudding Gluten Free
Raspberry Jello Mix
Dill Pickle Zippers R
Sea Salt and Vinegar Crisps
BBQ Soy Crisps
Herb and Garlic Soy Crisps
Southwest Cheese Flavoured Curls R
Chocolate Crispy Square
Vanilla Crispy Square
Vanilla and Peanut Bars R
Cranberry and Pomegranate R
Chocolate Mint Flavoured Bars R
Milk Chocolate Bars R
Caramel Nut Bars R
Strawberry Wafers
Orange Wafers
Lemon Wafers
Chocolate Wafers
Double Chocolate Brownie R
Peanut Butter Crunch Bars R
Cookie Dough Swirl Bars R
Chocolatey Coconut R
Raspberry Temptation R Gluten Free
Soy Puffs-Chocolate
Soy Puffs-Apple Cinamon
Sweet and Spicy Trail Mix
Supplements R Gluten Free Qty

Lose Weight. Optimize Your Health. Change Your Life.*

Why Choose Toronto Weight Loss and Wellness Clinic:

Disclaimer: *Individual weight loss may vary. Call for details. Compliance with our program is required.