Please fill out the form accordingly. Put the number of items you want in the box next to each.
PEPPERONI QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
PIZZA INN SPECIAL QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
BARBECUE PIZZA QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
GRILLED CHICKEN PIZZA QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
VEGETERIAN PIZZA QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
CHICKEN FAJITA PIZZA QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
HOT AND SPICY QUANTITY:SMALL 2.50$ MEDIUM 5.50$ LARGE 10.00$
French Fries $2.00
Drink $1.50
ADDRESS*: & CREDIT-CARD*:
Please select one of the following options: Pitt Student (10% off) Pitt Professor (5% off) Neither Student or Professor (no discount) Donate $1 to the Pitt Old Instructor's Retirement Fund