Pizza Delivery Order Form
*credit card required for online purchase* contact Head Coach Heather Davis with any questions: hdavis@lhup.edu
gift certificate #1: 1 - large 1 topping pizza 2 - large 1 topping pizza's 3 - large 1 topping pizza's 4 - large 1 topping pizza's 1 - 2 liter bottle of soda 2 - 2 liter bottle's of soda 3 - 2 liter bottle's of soda 4 - 2 liter bottle's of soda
gift certificate #2: n/a 1 - large 1 topping pizza 2 - large 1 topping pizza's 3 - large 1 topping pizza's 4 - large 1 topping pizza's n/a 1 - 2 liter bottle of soda 2 - 2 liter bottle's of soda 3 - 2 liter bottle's of soda 4 - 2 liter bottle's of soda
gift certificate #3: n/a 1 - large 1 topping pizza 2 - large 1 topping pizza's 3 - large 1 topping pizza's 4 - large 1 topping pizza's n/a 1 - 2 liter bottle of soda 2 - 2 liter bottle's of soda 3 - 2 liter bottle's of soda 4 - 2 liter bottle's of soda
*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:
Address:
Personal Message:
Coming Soon......
Updated 11/19/2009 As of 8/27/01
Copyright 1998-2003 Lock Haven University of Pennsylvania Site Index Questions? webmaster@lhup.edu