Advance Food Order Form
Pizza Packages
Date of Party:___________________
Time Food Desired*_________________
(*we have a 30 minute window to serve all party orders
based on our current food order volumes. Thank You.)
◦ Silliman Activity Center ◦ 6800 Mowry Ave., Newark, CA 94560 ◦
◦ Phone: 510-578-4620 ◦ Fax: 510-578-4622 ◦
Name ___________________________________
Package Type: Splash-tastic ____ Play & Splash ____
Phone Number _________________
Preschool Splash ____ Teen Area ____
No room______
Please mark how many pizzas you are interested in. The pizza is cut into 12 slices. Orders must be prepaid and placed at least 1 week in
advance. Tax is NOT included in Food Prices and will be added to the total.
Packages
A La Carte
Luigi Package: 2 Large Pizzas & 2 Bottles of Soda
QTY $36 1 Toppings:
QTY $19 2 Topping Pizza: 1.
Pizza #1
2.
Pizza #2
QTY $40 2 Toppings:
Pizza #1
/
Pizza #2
/
QTY $44 3 Toppings:
Pizza #1
/
/
Pizza #2
/
/
QTY $21 3 Topping Pizza: 1.
2.
3.
$23 Specialty Pizza:
Please ask for information on the types of Specialty Pizzas
Mario Package: 3 Large Pizzas & 3 Bottles of Soda
Beverages
Soda choices are: Coke, Diet Coke, Orange, Sprite, Fruit Punch,
Lemonade, & Root Beer
QTY $54 1 Topping: Pizza #1
Pizza #2
_____QTY 2 liter bottle of Soda $3.50: ____________
Pizza #3
QTY $60 2 Toppings:
QTY $17 1 Topping Pizza:
Pizza #1
/
_____QTY 12oz Bottle of Water $1.00
Pizza #2
/
_____QTY 10oz Bottle of Apple Juice $1.25
Pizza #3
/
QTY $66 3 Toppings:
Pizza #1
/
/
Pizza #2
/
/
Pizza #3
/
/
Pizza Toppings
Meats: Ground Beef, Salami, Ham, Anchovies, Pepperoni, Sausage, &
Chicken
Veggies: Artichokes Hearts, Black Olives, Green Bell Pepper, Jalapenos,
Kalamata Olives, Mushrooms, Red Onions, Pineapple, Garlic, Red Bell
Pepper, Tomatoes
Sauce: Traditional Red, Garlic, Pesto, BBQ, Chipotle, Thai, White, & Olive
Oil
_____QTY 10oz Bottle of Orange Juice $1.25
TOTAL NUMBER OF PIZZAS: ___
Subtotal:
Tax (9%)
TOTAL AMOUNT DUE:
Payment Method: Cash Check
$__________
$ _________
$__________
# _______
Visa
Master Card
Card #:______________________________Exp Date:________
Name on credit card:___________________________________
Signature:____________________________________________
Advance Food Order Form
Sandwich Package
Date of Party:__________
Time Food Desired*:
______________________
◦ Silliman Activity Center ◦ 6800 Mowry Ave., Newark, CA 94560 ◦
(*we have a 30 minute window to serve
all party orders based on our current food
order volumes. Thank You.)
◦ Phone: 510-578-4620 ◦ Fax: 510-578-4622 ◦
Name ______________________________________
Package Type: Splash-tastic ____ Play & Splash ____
Phone Number ________________________
Preschool Splash ____ Teen Area ____
No room______
Orders must be prepaid and placed at least 1 week in advance. All changes to order must be made in writing.
Tax is NOT included in Food Prices and will be added to the total.
Sandwich Trays $50.00
A La Carte $6.50 per sandwich*
Includes 15 4” sandwiches
QTY Turkey
Please indicate the total # of each sandwich you would like Bread: _________________ Notes: ______________
for your tray. Must equal 15 total.
QTY Turkey
QTY Ham
QTY Ham
Bread: _________________ Notes: ______________
QTY Club ( Turkey, Ham & Roast Beef)
QTY Roast Beef
QTY Veggie Delight
Bread: _________________ Notes: ______________
QTY Turkey & Ham
QTY Veggie Delight
NOTES: ______________________________
All sandwiches served on a wheat roll with
lettuce, tomatoes, onion, bell peppers and pickles Bread Choices: Italian, 9-grain Wheat, 9-Grain Honey Oat,
Italian Herb & Cheese
unless specified in “Notes” area. Mustard &
Mayonnaise provided on the side.
All sandwiches served with mustard, mayonnaise,
lettuce, tomatoes, onion, bell peppers and pickles
Beverages
unless specified in “Notes” area.
Bread: _________________ Notes: ______________
Soda choices are: Coke, Diet Coke, Orange, Sprite, Fruit
Punch, Lemonade, & Root Beer
*Must order a minimum of 5 a la carte sandwiches
_____QTY 2 liter bottle of Soda $3.50: ____________
_____QTY 12oz Bottle of Water $1.00
_____QTY 10oz Bottle of Apple Juice $1.25
_____QTY 10oz Bottle of Orange Juice $1.25
#of Trays: _________
Subtotal: $__________
Cash
Check # _______
# of A La Carte Sandwiches _______
Tax (9%): $___________
Visa
Master Card
TOTAL AMOUNT DUE: $__________
Card #:_____________________________________
Name on credit card:_____________________________
Exp Date:________
Signature:___________________________________