CHEESY PIZZA ORDER FORM

Delivery Information

Name

Address

City, State, Zip

Telephone

( )



Build your pizza:

Pizza Size Small Medium Large
Select One 8 inch
 12 inch
 16 inch
Crust Style Thin Thick Cheese-filled
Select One


Pizza Style Regular Pan Chicago-Style
Select One




Select your toppings:

Meats and Dairy Garden
Pepperoni
 Black Olives
Sausage
 Mushrooms
Canadian Bacon
 Bell Pepper
Chicken
 Jalapeno
Ground Beef
 Tomato Slices
Extra Cheese
 Pineapple


Sodas:

Would you like to order a 2-liter bottle of a refreshing beverage?

Coca-cola
Diet Coke
Sprite
Dr. Pepper

Please enter any special delivery instructions (beware of dog, leave at front desk, etc.):

Return to the Chaffey Main Page    Return to the JavaScripting Page

Valid XHTML 1.0 Strict