Tri - State Pizza
Order Form
First Name:
Last Name:
Address:
City:
State:
IL
IN
WI
Zip:
Telephone:
-
-
Size:
Small 12"
Medium 14"
Large 16"
Crust Type:
Thin Crust
Deep Dish
Cheese Type:
Cheddar
Mozzerella
Parmesan
Provolone
None
Toppings:
Select
Anchovies
Bacon
Ground beef
Mushrooms
Olives
Onions
Pepperoni
Peppers
Sausage
Sun-dried tomato
Tomatoes
Delivery Instructions:
