Pizza Day ( Lower Elementary & Primary) Pizza Day ( Lower Elementary & Primary) Name First Last ClassInstructions: Please fill out one order form per student, but feel free to combine payments for siblings. Indicate the number of slices for each type of pizza you want and record the cost for each type of pizza. Indicate the quantity of each fruit item you want and record the cost. Please pay in cash for totals under $10. Checks are fine for larger totals. We are not able to provide change; therefore, payment above your total will be considered a donation. Please attach payment to form or enclose form(s) and payment in an envelope! THANK YOU FOR YOUR BUSINESS!! PIZZAOption 1: Cheese Cost/ slice: $1.50Number of SlicesPizza CostOption 2: Pepperoni Cost/ slice: $1.50Number of SlicesPizza CostOption 3: Veggie Cost/ slice: $2.25Number of SlicesPizza CostFRUITS & VEGGIESApple Cost: $1.00QuantityDrink/Fruit costBananas Cost: $1.00QuantityDrink/Fruit costOranges Cost: $1.00QuantityDrink/Fruit costBaby Carrots (1/2 CUP) Cost: $1.00QuantityDrink/Fruit costPlease circle the Pizza Day(s) included in this order: Forms are due BY dates in parentheses. Orders received after due date will be charged an additional two dollarsOctober 15 (Oct 5)November 19 (Nov 9)December 17 (Dec 7)January 21 (Jan 11)March 24 (Mar 14)April 28 (Apr 18)May 12 (Mar 2)COST / Pizza DayX # of MONTHS+ DONATION =TOTAL PAID