Hassan's Pizza Shop

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Customer Information:

Name:

Phone:

Address:

Order Information:

Order Type:

Pizza Size: Extra Large Pizza

Crust:

Sauce:

Regular Toppings: No regular toppings selected

Premium Toppings: No premium toppings selected

Family Meal? Family meal not selected.

Order Total:

Subtotal: $15.49

Tax: $1.24

Tip: $0.00

Grand Total:   $16.73