Lunch Order Form - St. Joseph Saturday Retreat
12/7/19 | Please fill out this form if you'd like to order pizza and salad lunch after the retreat.
If you prefer to pay with cash or Venmo at the event, select that for your payment option and bring to the retreat.
We look forward to seeing you on Saturday!
Warning!
This form cannot be submitted until an administrator completes the setup process to receive online payments.
Name
*
Email
*
This address will receive a confirmation email
What kind of pizza do you like?
Please select all that apply.
Cheese
Pepperoni
Sausage
Mushroom
Veggie Mix (Mushroom / Green Pepper / Onion)
Phone
*
Address
*
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Payment
Credit/Debit ($5.00)
Cash ($0)
Venmo ($0)
Credit/Debit ($5.00)
Cash ($0)
Venmo ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
12/7/19
Please fill out this form if you'd like to order pizza and salad lunch after the retreat.
If you prefer to pay with cash or Venmo at the event, select that for your payment option and bring to the retreat.
We look forward to seeing you on Saturday!
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