Pizza Palace Delivery Order Form!

We deliver anywhere in the US of A: 1-800-PIZZA 4 U

What kind of pizza do you wish to order?
Thin Crust Regular Deep Dish

Which toppings would you like on your pizza?
Pepperoni Mushroom Sausage Ham Extra Cheese

$1.00 for each topping.$3 for all five toppings.

What else would you like with your order?

Your first name:

Last name:

Phone number (Area code first- No dashes):

Type of Credit Card: Visa MasterCard American Express

Credit Card Number:

Address:

Pizza Palace thanks you for your Patronage!

(Please Allow 1 hour for Delivery)