Pizza Delivery Order Form

 

 

 

 

 

*credit card required for online purchase*  contact Head Coach Heather Davis with any questions: hdavis@lhup.edu

gift certificate #1:   

gift certificate #2:   

gift certificate #3:   

*Payment Information: You will need to total your order on your own and submit payment on next

page.  Each Pizza is $16.00 and each soda is $3.00   Delivery is included at no extra charge.

Person Ordering:

Name     Phone:

Email 

 

Person Receiving Gift Certificate (student)

Name     Cell Phone:

Email 

 Address:

     

Personal Message:

     

 

Coming Soon......

 

 

 

 

 

 

Click here to submit payment

 

 

 

 

 

 

 

 

 

 

 

 

Updated 11/19/2009      Hit CounterAs of 8/27/01 

 
 


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