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rockinjump.com/burlington
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Please fill out and email to: [email protected]
NAME: __________________________________________ PHONE: _________________________
PARTY DATE: ____________________________________ PARTY TIME ______________________
SERVING TIME (APPROX.): _________________________ PARTY ROOM: ___________________
NOTES:
(Serving time will be within 10 minutes of desired time)
ROCKIN' PARTY INCLUDES
PIZZA PACKAGE FROM SELECTED PARTY
SILVER: 2 PIZZAS & 2 PITCHERSGOLD: 3 PIZZAS & 3 PITCHERSPLATINUM: 4 PIZZAS & 4 PITCHERS
CHOICE OF PIZZAS FROM BELOW (10 SLICES PER PIZZA)
CHEESE ______, PEPPERONI ______, SAUSAGE ______,
MEAT COMBO ______, VEGGIE ______, SUPREME ______,
CHOOSE DRINKS FROM THE OPTIONS BELOW
ROCKIN' SOFT DRINKS
PEPSI _____ DIET PEPSI _____ DR. PEPPER _____ 7 UP _____ CRUSH ORANGE _____ MUG ROOT BEER _____ BRISK LEMON ICED TEA _____MOUNTAIN DEW _____WATER (PITCHER) _____
PARTY FAVOURSPARTY FAVOURS $10.00 QTY _______WITH SWAG
TO ENSURE YOUR FOOD IS DELIVERED ON TIME, PLEASE MAKE SURE TO ORDER AT LEAST 48 HOURS IN ADVANCE.
ROCKIN' PARTY EXTRAS
ADDITIONAL PIZZAS (10 SLICES EACH)
CHEESE $16.99 QTY _______PEPPERONI $17.99 QTY _______SAUSAGE $17.99 QTY _______VEGGIE $17.99 QTY _______SUPREME $18.99 QTY _______MEAT COMBO $18.99 QTY _______CHEESY BREAD $14.99 QTY _______
FRESH SALADS (FEEDS 10-12 PEOPLE)
CAESAR CHICKEN SALAD $24.99 QTY _______
TRAYS (FEEDS 10-12 PEOPLE)
FRUIT TRAY $24.99 QTY _______VEGGIE TRAY $24.99 QTY _______CHICKEN STRIP TRAY $29.99 QTY _______POPCORN CHICKEN TRAY $24.99 QTY _______NACHO PARTY TRAY $14.99 QTY _______FRENCH FRIES TRAY $12.99 QTY _______POPCORN BOWL $14.99 QTY _______PARTY CHIPS $10.00 QTY _______DORITOS OR LAYS
BEVERAGESADDITIONAL PITCHER OF SODA $5.99 QTY _______SLUSHIES (16OZ) $3.55 QTY _______BLUE RASPBERRY, CREAM SODA, KEY LIME, CHERRY
WATER (24 PACK) $24.00 QTY _______JUICE BOXES (10 PACK) $10.00 QTY _______
BURLINGTON - ORDER FORM
