Pizza Time

Customer Information

Name:
Address:
Phone Num:

Pizza Information

Size

	Small \| $8.00
	Medium \| $10.00
	Large \| $15.00

Cheese

	No Cheese
	Regular Cheese
	Extra Cheese \| +$2.00

Toppings

	Pepperoni \| +$1.00
	Sausage \| +$1.00
	Bacon \| +$2.00
	Pineapple \| +$.50
	Mushrooms \| +$.50
	Olives \| +$.50
	Onions \| +$.50
	Peppers \| +$.50

Delivery Information

Date
Time

Order Total