Pizza Palace Delivery Order Form!


We Deliver Anywhere in the US of A: 1-800-PIZZA 4 U

What kind of pizza do you wish to order?

Thin Crust Regular Deep Dish


Which toppings would you like on your pizza?

Pepperoni Mushroom Sausage Hame Extra Cheese

$1.00 for each topping. $3 for all five toppings.


What else would you like with your order?





Your first name
Last name
Phone Number(Area Code First-No Dashes)

Type of Credit Card Visa MasterCards American Express

Credit Card Number


Pizza Palace thanks you for yourPatronage


(Please Allow1 hour for Delivery)



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