Pizza Order Form-1

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UPC Pizza Fundraiser

Proceeds will benefit the United Parish Church Youth Group


Date: Sunday, Feb 5th Time: 2:30-6:00 PM Order By: Jan 29th

INGREDIENTS PROVIDED BY:

Papa Ginos
Del iver y Wil ling Donat ion ly A s c ce pte d

Pizza Topping Choices:


Cheese Pepperoni

Pizzas will be freshly made & ready to cook. Delivery/Pickup date is Sunday, Feb. 5th between 2:30 - 6:00 PM at the United Parish Church. Uncooked pizzas can be picked up anytime!

ONLY $10.00 per Pizza!


Please complete the order form below & return to the UPC Youth Group Member with your payment.

Please Detach & Return The Following Order Form with Your Payment:

Please attach/enclose $10.00 per pizza ordered.


Please make Checks Payable to:

Name Address

United Parish Church


1 1 2 2 3 3 4

# of Cheese Pizzas Ordered (please circle): # of Pepperoni Pizzas Ordered (please circle):

Phone

Please Circle One:

PICKUP

DELIVERY

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