Pizza Order Form
After you fill out this order request, we will contact you to go over details and availability before the order is completed. Orders can be paid in cash, VenMo, or PayPal. To find a full menu, visit https://pizzaemiliostl.wixsite.com/website
Pickup Date
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Date
Pickup Time
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Minutes
PM
AM/PM Option
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Additional Notes
Menu
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( X )
Margherita
$
10.00
Tomato, Parmigiano-Reggiano, Olive Oil, Mozzarella, Basil
Quantity
1
2
3
4
5
Add Toppings
None
Cherry Tomatoes
Item subtotal:
$
0.00
Quattro Formaggi
$
11.00
Tomato, Mozzarella, Gorgonzola, Parmiggiano-Reggiano, Asiago
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Tonno
$
12.00
Tomato, Tuna, Red Onion, Black Olives, Artichoke Hearts, Mozzarella
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Napoli
$
11.00
Tomato, Anchovies, Capers, Mozzarella
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Marinara Ⓥ
$
8.00
Tomato, Oregano, Basil
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Emilio
$
12.00
Béchamel, Mozzarella, Caramelized Onions, Gorgonzola
Quantity
1
2
3
4
Add Toppings
None
Add Prosciutto
Item subtotal:
$
0.00
Emilio (Fig Jam)
$
12.00
Fig Jam, Mozzarella, Caramelized Onions, Gorgonzola
Quantity
1
2
3
4
5
6
7
8
9
10
Add Toppings
None
Add Prosciutto
Item subtotal:
$
0.00
Spanakopita
$
12.00
Ricotta, Spinach, Feta
Quantity
1
2
3
4
Pepperoni
$
12.00
Tomato, Shredded Mozzarella, Pepperoni
Quantity
0
1
2
3
4
5
6
7
8
9
10
Buffalo Chicken
$
12.00
Frank's Red Hot, Shredded Chicken, Gorgonzola, Red Onion, Celery
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Total
$
0.00
Pre-sliced?
No
4
6
8
Payment
Cash
VenMo
PayPal
Submit
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