Assignment 8 - Pizza Delivery
Please fill the form completely to submit your order
Order Form
First Name
Last Name
Phone
Address Line #1
Address Line #2
City
State
Choose State
Alabama
Alaska
Arizona
Arkansas
California
Coloroda
Conneticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Misouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennislvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Email Address
Delivery Day
Delivery Time
Pick a day
Pick a time
11:30 AM - 12:00 PM
12:00 PM - 12:30 PM
12:30 PM - 1:00 PM
1:00 PM - 1:30 PM
1:30 PM - 2:00 PM
2:00 PM - 2:30 PM
2:30 PM - 3:00 PM
3:00 PM - 3:30 PM
3:30 PM - 4:00 PM
4:00 PM - 4:30 PM
4:30 PM - 5:00 PM
5:00 PM - 5:30 PM
5:30 PM - 6:00 PM
6:00 PM - 6:30 PM
6:30 PM - 7:00 PM
7:00 PM - 7:30 PM
7:30 PM - 8:00 PM
8:00 PM - 8:30 PM
8:30 PM - 9:00 PM
9:00 PM - 9:30 PM
9:30 PM - 10:00 PM
10:00 PM - 10:30 PM
10:30 PM - 11:00 PM
11:00 PM - 11:30 PM
Pick a Pizza:
Pizza Selection
Margarita
Classic Cheese
3 Meat Lovers
Hawaiian
Pepperoni
Or...
Build your pizza!
Crust
Normal
Stuffed Crust
Deep Pan
Thin Crust
Sauce
Tomato
Marinara
Alfredo
Pesto
Cheese (Select up to 3)
Mozarella
Parmesan
Provolone
Cheddar
Gorganzola
Aged Havarti
Mozarella
Parmesan
Provolone
Cheddar
Gorganzola
Aged Havarti
Mozarella
Parmesan
Provolone
Cheddar
Gorganzola
Aged Havarti
Select Toppings - Veggies (You can pick:
5
)
Red Onions
Sundried Tomatoes
Pepperocini
Black Olives
Pickles
Mushrooms
Bell Peppers
JalepeƱos
Pineapples
Fresh Basil
Spinach
Roma Tomatoes (chopped)
Roma Tomatoes (sliced)
Select Meat (You can pick:
3
)
Pepperoni
Italian Sausage(ground)
Italian Sausage(crumble)
Ham
Shredded Chicken
Cubed Chicken
Shredded Beef
Ground Beef
Bacon
Canadian Bacon
Payment Options
Pay with cash upon delivery
Credit Card
Card#
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2027
2028
2029
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