Pizza Order Form
for the Earl Grey Valentine's Family Night 2018
Pizza must be preordered and paid for by 12 noon, Friday, Feb 16th, 2018. The pizza is ordered from Santa Lucia and is $2.50 per slice. A copy of your order will be emailed to you, and you may be asked to show it to pick up your pizza. If you do not get an emailed confirmation your order did not go through! This is not a registration form! You must complete a registration form to attend the Family Night. (If you've already completed a registration form, a copy will have been emailed to you.) When you've completed your selection, click on the Paypal button at the bottom to proceed to checkout. You may also use your Visa or Mastercard.
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Please click on the type of pizza you want and the number of slices:
Cheese Pizza
$
2.50
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Cheese and Pepperoni Pizza
$
2.50
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Ham & Pineapple Pizza
$
2.50
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Spinach & Feta Cheese Pizza
$
2.50
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Total:
$
0.00
CAD
Submit
Should be Empty: