Pizza Order Application
Customer Information
Name:
Address:
Phone:
Build Your Own Pizza
Size:
Small - $16
Medium - $19
Large - $22
Toppings:
$1.00 Small, $1.50 Medium, $2.00 Large
Pepperoni
Sausage
Mushrooms
Onions
Peppers
Add Pizza to Order
Pizzas in Order:
Special Instructions:
Order Summary
Subtotal: $0.00
Tax (10%): $0.00
Total: $0.00
Place Order and Print Receipot