Name *

First Name

Last Name

Choose pizza slice #1:

(choose just one flavor and receive up to three slices of that flavor or mix it up by choosing three different flavor combinations)

Cheese Pizza Slice (loaded with just cheese and lots of it!)

Veggie Pizza Slice (packed with ripe bell peppers, mushrooms, onions, black olives, banana peppers and jalapeño peppers)

Pepperoni Pizza Slice (topped with lots of zesty pepperoni)tion 4

Meat Lovers Pizza Slice (topped with Italian sausage, savory beef, tender bacon, and zesty pepperoni)

Loaded Pizza Slice (topped with Italian sausage, delicious pepperoni, chunks of bacon, savory beef, bell peppers, mushrooms, onions, black olives, banana peppers and jalapeños )

Choose pizza slice #2:

(choose just one flavor and receive up to three slices of that flavor or mix it up by choosing three different flavor combinations)

Cheese Pizza Slice (loaded with just cheese and lots of it!)

Veggie Pizza Slice (packed with ripe bell peppers, mushrooms, onions, black olives, banana peppers and jalapeño peppers)

Pepperoni Pizza Slice (topped with lots of zesty pepperoni)tion 4

Meat Lovers Pizza Slice (topped with Italian sausage, savory beef, tender bacon, and zesty pepperoni)

Loaded Pizza Slice (topped with Italian sausage, delicious pepperoni, chunks of bacon, savory beef, bell peppers, mushrooms, onions, black olives, banana peppers and jalapeños )

Choose pizza slice #3:

(choose just one flavor and receive up to three slices of that flavor or mix it up by choosing three different flavor combinations)

Cheese Pizza Slice (loaded with just cheese and lots of it!)

Veggie Pizza Slice (packed with ripe bell peppers, mushrooms, onions, black olives, banana peppers and jalapeño peppers)

Pepperoni Pizza Slice (topped with lots of zesty pepperoni)tion 4

Meat Lovers Pizza Slice (topped with Italian sausage, savory beef, tender bacon, and zesty pepperoni)

Loaded Pizza Slice (topped with Italian sausage, delicious pepperoni, chunks of bacon, savory beef, bell peppers, mushrooms, onions, black olives, banana peppers and jalapeños )

Choose one cookie:

Chocolate chip

Cranberry white chocolate

Oatmeal raisin

Chocolate with white chocolate chips