Pizza Order Form
Important Note - After the form has been submitted your will need to click the Web Checkout Clover link for payment. Your order will not be fully submitted until payment is received.
Pick your Pizza! Choices start with 1 topping, then 2 topping and specialty pizza at the bottom!
All pizzas for take and bake are 12" uncooked pizzas
My Products
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Cheese Pizza
A classic cheese only pizza.
$
12.00
Quantity
1
2
3
4
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8
9
10
Item subtotal:
$
0.00
Sausage
Sausage and cheese please!
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Pepperoni
Love that pepperoni!
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Hamburger
Its like a cheeseburger pizza!
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Green Pepper
Cheese and pepper
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Onions
The sweet taste of onions and cheese
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Mushrooms
Mushrooms are a vegetable!
$
13.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Sausage and Mushroom
Our most popular combo!
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Sausage and Pepperoni
The best!
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Meat and Onion
Pick your Protein and Onions!
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Meat
Sausage
Pepperoni
Hamburger
Item subtotal:
$
0.00
Meat and Green Pepper
Pick your Protein and Green Pepper!
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sausage
Pepperonni
Hamburger
Item subtotal:
$
0.00
Meat and Mushroom
Pick your Protein and Mushrooms!
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sausage
Pepperoni
Hamburger
Item subtotal:
$
0.00
3 Meat Pizza
Go for all the meats! (Sausage, Pepperoni and Hamburger)
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Veggie Lovers
For the Veggie Lover (Green Pepper, Mushroom and Onion)
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Deluxe Pizza
Load it up with everything!
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Special Instructions
Pickup Date
-
Month
-
Day
Year
Pickup is from 12 to 2
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Order
Should be Empty: