Pizza Order form

Avoid the hassle, rest assured there will be guaranteed supply for your family, pre-order your Pizza HERE!
Full Name
First NameLast Name
Pie$20 per pie
Slices$2.50 per slice
Latkes2 for $1
Donation towards program costsuggested $5 per family
Total
$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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