Pizza Order Form
We order pizza every 4-6 weeks so that parents can purchase a treat for their student(s). This form gets taken off line the Thursday before order day at 1:30pm so that we can ensure all students get their order placed in time for our Friday pizza day. Thank you.
Student Name
*
First Name
Last Name
If ordering for more than one student, please list name(s) here:
My Products
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1 Slice Cheese Pizza & a bottle of water
$
5.00
Quantity
2 Slices of Cheese Pizza & a bottle of water
$
7.00
Quantity
1 Slice Pepperoni Pizza & a bottle of water
$
5.00
Quantity
2 Slices of Pepperoni Pizza & a bottle of water
$
7.00
Quantity
Gluten Free Pizza-Personal Size Cheese & a bottle of water
$
10.00
Quantity
Gluten Free Pizza-Personal Size Pepperoni & a bottle of water
$
10.00
Quantity
Credit Card
First Name
Last Name
Credit Card Number
Security Code
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