PIZZA ORDER FORM
Name:
Address:
Phone Number:
E-mail address:
SIZE
TOPPINGS
CRUST
Small
Chesse
Hand Tossed
Medium
Olives
Fresh Pan
Large
Onions
Cheese Burst
X-Large
Capsicum
Thin Crust
Choose time slot of delivery
Within 30 minutes
9:00a.m.-9:30a.m.
9:30a.m.-10:00a.m.
10:00a.m.-10:30a.m.
10:30a.m.-11:00a.m.
11:00a.m.-11:30a.m.
11:30a.m.-12:00p.m.
12:00p.m.-12:30p.m.
12:30p.m.-1:00p.m.
1:00p.m.-1:30p.m.
1:30p.m.-2:00p.m.
2:00p.m.-2:30p.m.
2:30p.m.-3:00p.m.
3:00p.m.-3:30p.m.
3:30p.m.-4:00p.m.
4:00p.m.-4:30p.m.
4:30p.m.-5:00p.m.
5:00p.m.-5:30p.m.
5:30p.m.-6:00p.m.
6:00p.m.-6:30p.m.
6:30p.m.-7:00p.m.
7:00p.m.-7:30p.m.
7:30p.m.-8:00p.m.
8:00p.m.-8:30p.m.
8:30p.m.-9:00p.m.
9:00p.m.-9:30p.m.
9:30p.m.-10:00p.m.
Mode of Payement
Credit Card
E-Wallet
Mastercard
Gift Cards
Cash on delivery