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Pizza Delivery Order Form

 
 

Name:

(required)
 

Home Address:

(required)

 

Phone Number:

(required)

 

Email Address:

(required)

     

Select one:
  Delivery (add $1.25)
  Dine-in
  Pick-up

Pizza Style:

 
  Regular Thin Crust
  Extra Thin Crust
  Thick Crust
  Deep Dish
  Stuffed Pizza (please allow 45 minutes to cook)
  Sicilian Style
   

Pizza Size:

  
  10" (Deep Dish, Stuffed, Sicilian Style)
  12" (Any Style)
  14" (Any Style)
  16" (Regular Thin Crust, Extra Thin Crust, Thick Crust, Sicilian Style)
  18" (Regular Thin Crust, Extra Thin Crust, Thick Crust)
   

Ingredients:

  
 
Cheese Mushrooms Fresh Tomato
Sausage Onions Fresh Garlic
Pepperoni Black Olives Pineapple
Ground Beef Green Olives Shrimp
Ham Green Peppers Anchovy
Canadian Bacon Spinach BBQ Sauce
Extra Cheese Ricotta Cheese Paisan's Hot Peppers
Extra Sauce
(add 0.75) 		Red Pepper
(add 0.25) 		Romano Cheese
(add 0.25 )
     

Additional comments:

   
     
 
     

 

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