Pizza Order Form
Customer Information
Name:
Email Address:
Address:
Phone Number:
Delivery / Pick-up
Delivery
Pick-up
VIP Customer Rewards
Rewards Account ID:
Pizza Customization
Select Pizza Size:
Small($8.00)
Medium($12.00)
Large($16.00)
Select Crust Type:
Cheesy Crust($2.00)
Deep Dish($2.50)
Extra Thick($2.00)
Stuffed Crust($2.50)
Thick Crust($2.00)
Thin Crust($2.00)
Select Sauce:
Pesto Sauce($2.00)
Red Sauce($1.00)
Spicy Sauce($2.00)
White Sauce($2.00)
Select Toppings:
Chicken($2.00)
Mushrooms($1.00)
Onions($1.50)
Pepperoni($1.00)
Peppers($1.00)
Pineapple($1.50)
Sausage($2.50)
Current Order