Pizza in the Hut

Address

2. Reservation
How many adults?
How many children?
Guest 1

First Name Last Name
Guest 2

First Name Last Name
Guest 3

First Name Last Name
Guest 4

First Name Last Name
Guest 5

First Name Last Name
Any Comments / special requirements
3. Suggested Donation $25+ / family
Amount

$
Help sponsor the program

$54.00$90.00$136.00$180.00$360.00
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal Interac, Cheque, Cash

Postal / Zip Code

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1. Your Infomation