CATERING ORDER FORM For pricing information, call your local store. See the locations tab at www.mamadelucaspizza.com for the store nearest you! Directions: Name: __________________________________________________________________ 1. Print this form 2. Fill out form completely (Please PRINT) 3. Email or Fax this form to your local store For pricing information, please call the store nearest you. Payment will be taken at the time of pick up. Menu items & prices are subject to change without notice. Tax extra. What Types of People Are You Feeding? (Circle all that apply) 14” LARGE SPECIALTY PIZZAS Date Needed________________ Time for Pick Up / Delivery*: ____________AM/PM (8 Slices) Boys: Ages 3-8 9-12 13-18 18-24 25-34 35-45 45-55 55+ Girls: Ages 3-8 9-12 13-18 18-24 25-34 35-45 45-55 55+ Phone: _________________________________________________________________ Address: ________________________________________________________________ Write the Quantity of Pizzas desired Email: __________________________________________________________________ BBQ Chicken: Qty__________ Special Requests__________________________________________________________ Bacon Double Cheeseburger: Qty__________ ________________________________________________________________________ Butcher’s Best: Qty__________ *Delivery at participating locations only Chicken Bacon Ranch: Qty__________ For restaurant use only Buffalo Chicken: Qty__________ Garden Run: Qty__________ Date of Order:________________ Time of Order: _____________AM/PM Hawaiian (BBQ/Pizza Sauce): Qty__________ Order Taken By: __________________________ Supreme: Qty__________ Confirmed the Order? YES NO SOFT PRETZEL STICKS GARLIC PARMESAN BREADSTICKS How Many Do You Want? How Many Do You Want? 12ct_______ 24ct_______ Other_______ (multiples of 12) 12ct_______ 24ct_______ Other_______ (multiples of 12) Choose Your Sauce (You get 1 sauce per 2 Pretzel Sticks) Choose Your Sauce (You get 1 sauce per 2 Breadsticks) Nacho Cheese_______ Pizza Sauce_______ Nacho Cheese_______ Garlic Butter_______ Garlic Butter_______ 14” LARGE CREATE YOUR OWN PIZZA (8 Slices) Put an X in your desired choices, then write the quantity Choose Your Sauce Qty_______ Pizza Garlic Butter BBQ SW Chipotle Ranch Buffalo Sweet Onion Teriyaki Choose Your Toppings Pepperoni Onions Green Peppers Bacon Mushrooms Ham Spinach Beef Pineapple Sausage Jalapeños Chicken Black Olives Banana Peppers Tomatoes Choose Your Sauce Qty_______ Pizza Garlic Butter BBQ SW Chipotle Ranch Buffalo Sweet Onion Teriyaki Choose Your Toppings Pepperoni Onions Green Peppers Bacon Mushrooms Ham Spinach Beef Pineapple Sausage Jalapeños Chicken Black Olives Banana Peppers Tomatoes Choose Your Sauce Qty_______ Pizza Garlic Butter BBQ SW Chipotle Ranch Buffalo Sweet Onion Teriyaki Choose Your Toppings Pepperoni Onions Green Peppers Bacon Mushrooms Ham Spinach Beef Pineapple Sausage Jalapeños Chicken Black Olives Banana Peppers Tomatoes If more “Create Your Own Pizzas” are desired, print a separate form. 100% WHITE MEAT BONLESS WINGS Put an X next to your selection Choose Your Sauce (1 per 8 wings) BBQ_______ Buffalo_______ Sweet Onion Teriyaki_______ Variety_______ (will be divided evenly) How Many Do You Want? 48ct_______ 72ct_______ 96ct_______ 120ct_______ 144ct_______ Other_______ (multiples of 24) Choose Your Dipping Sauce (1 per 8 wings) Ranch_______ Honey Mustard_______ Both_______ (will be divided evenly) EXTRAS Apple Slices: Qty_________ bags Chips: Flavor_______________ ______________ ______________ Qty________ ® Beverages: Ask your Mama DeLuca’s Catering Specialist about what bottled beverages they offer. Variety________ (mark with X)
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