Pizza Night Order Form

Round Top Pizza Night

Order Form

Date:

mm/dd/yy

Preferred time:

5:30pm

6:00pm

Please note that once you place your order, unless it is cancelled by 3pm on the day of the Pizza Night event, you will be held responsible for paying for the items.

First Name:

*Required

Last Name:

*Required

Cell Phone:

*Required

Email Address:

*Optional

Order

Pizza: # of Pies: / $10 each (Large Plain Cheese Pizza. No toppings available thru this event.)

Individual Lasagna: /$5 each

Individual Baked Ziti: /$5 each

Individual Dinner Salad: /$7 each << New!! Salad with Grilled Chicken

Individual Side Salad: /$4 each << back by popular demand!! Smaller salad

Garlic Knots (4 per serving): /$2 << back by popular demand!!

Note: These prices are only available thru the Pizza Days at Round Top. Please do not ask the vendor to honor the pricing outside of this event. If you do not pick up your order, you will be asked to pay for it anyway.