Jefferson Township Volunteer Fire Company

2012 Super Bowl Sunday Hot Wing & Pizza Sale - Online Order Form

Online Hot Wing & Pizza Sale Order Form
Full Name:
Home Phone Number:
Cell Phone Number:
Email Address:
Estimated Pickup Time: (between 1pm & 6pm)
Quantity-Mild Flavor Wings: (10 per order)
Quantity-Hot Flavor Wings: (10 per order)
Quantity-Sweet & Tangy Wings: (10 per order)
Quantity-Plain Pizza: (Square Tray)
Quantity-Hot Wing Pizza: (Square Tray)
Would you like to receive monthly e-mail updates from us regarding upcoming fundraisers and special events the fire company is hosting?:
Yes	No

By clicking submit, I acknowledge that all the above information I have entered is correct and that my payment of $6 per order of wings and the appropriate payment per tray of pizza is due before or at the time I take delivery of my wings. I also understand that if I do not arrive within an hour of my scheduled pickup time, without calling and notifying staff of the time change, my reserved pizza & wings may be made available to others.

"The Pride of Jefferson Township"

This Site Was Last Updated on: Sunday January 15, 2012