Pizza Day!

Student's name *

First Name

Last Name

TUE, 9/3 (order by 5 pm 9/2)

WED, 9/11 (order by 5 pm 9/10)

THU, 9/19 (order by 5 pm 9/18)

MON, 9/23 (order by 5 pm 9/22)

TUE, 10/1 (order by 5 pm 9/30)

WED, 10/9 (order by 5 pm 10/8)

THU, 10/17 (order by 5 pm 10/16)

MON, 10/21 (order by 5 pm 10/20)

TUE, 11/5 (order by 5 pm 11/4)

WED, 11/13 (order by 5 pm 11/12)

THU, 11/21 (order by 5 pm 11/20)

MON, 12/2 (order by 5 pm 12/1)

Parent's name *

First Name

Last Name

Parent's phone *

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Please calculate the total amount due for all pizza days selected (at $5 per day). Once you click the Order Now button, you will be redirected to the payment page where you can complete your order. *

I understand that my order is not complete until my payment is made.