Pizza Fundraising Program Total Form

Pizza Order Total Form

Organization Name

Fundraiser Completion Date

Contact Name

First Last

Contact Phone

Contact Email

House Deluxe Total

How many of these pizzas did you have?

Meat at the HOUSE Total

How many of these pizzas did you have?

Classic Pepperoni

How many of these pizzas did you have?

Italian Sauasage

How many of these pizzas did you have?

Wake & Bake Breakfast

How many of these pizzas did you have?

Chicken & Spinach

How many of these pizzas did you have?

Total Pizzas

How many pizzas in total?

Total Dollar Amount For Organization

Money you raised for your organization.

Total Dollar Amount Due - Payable to House of Pizza

Desired Pickup Date

Must give at least two weeks to fill order.

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