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: Game On ____ Play Land ____
Phone Number _________________
Preschool Paradise ____ Teen Area ____
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 (Halal), Beef Salami, Bacon, Turkey Ham, Linguica,
Shrimp, Anchovies, Beef Pepperoni, Italian Sausage, & Chicken
Veggies: Black Olives, Calamata Olives, Onions, Fresh Tomatoes, Sundried
Tomatoes, Artichokes, Mushrooms, Pineapple, Bell Peppers, Fresh Garlic,
Jalapenos
Other: Mozzarella Cheese, Feta Cheese
Sauce: Traditional Red, Garlic White, Pesto, BBQ
_____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:____________________________________________