LSS Meals to Go Order Form

LSS Meals to Go Order Form

Meal Recipient Information


Choose Meals

Please select a total of 14 delicious and nutritious home cooked meals for your shipment. Enter the quantity of each option you request below. You can choose an assortment of different meals, or request several of the same meal if you prefer. Meals include side dishes, bread, margarine and dessert.
Do you require a specific type of diet? If so, check the relevant boxes.

How did you hear about us?

Recipient Demographics

LSS Meals does not discriminate on the basis of gender identity or race. We use gender and race data to track the effectiveness of our program. Your answers to the following questions are optional and will not affect your ability to receive services.

You will be prompted to submit your payment on the following page. You can expect your meals to arrive within 3 to 4 business days after we receive your payment.

Questions: Call us toll-free at 800.488.4146 during office hours Monday through Friday, 8:00 a.m. - 4:30 p.m.