lascruces.rockinjump.com

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Please fill out and email to: lascruces-nm@rockinjump.com

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

DELUXE: 2 PIZZAS & 2 PITCHERSPREMIUM: 3 PIZZAS & 3 PITCHERSPLATINUM: 4 PIZZAS & 4 PITCHERS

CHOICE OF PIZZAS FROM BELOW (8 SLICES PER PIZZA)

CHEESE ______, PEPPERONI ______, SAUSAGE ______,

MEAT COMBO ______,

CHOOSE DRINKS FROM THE OPTIONS BELOW

ROCKIN' SOFT DRINKS

PEPSI _____ DIET PEPSI _____ DR. PEPPER _____ SIERRA MIST _____ MOUNTAIN DEW _____ MUG ROOT BEER _____ LEMONADE _____FRUIT PUNCH _____

OR CHOOSE ONE OF THE OPTIONS BELOW

BOTTLED WATER (10) _____CAPRI SUN (10) _____

TO ENSURE YOUR FOOD IS DELIVERED ON TIME, PLEASE MAKE SURE TO ORDER AT LEAST 48 HOURS IN ADVANCE.

ROCKIN' PARTY EXTRAS

ADDITIONAL PIZZAS (8 SLICES EACH)

CHEESE $14.00 QTY _______PEPPERONI $14.00 QTY _______SAUSAGE $14.00 QTY _______MEAT COMBO $14.00 QTY _______

TRAYS (FEEDS 10-12 PEOPLE)

NACHO TRAY $22.00 QTY _______CHICKEN STRIP TRAY $35.00 QTY _______

BEVERAGESADDITIONAL PITCHER OF SODA $6.00 QTY _______WATER (24 PACK) $13.00 QTY _______CAPRI SUN (10 PACK) $7.00 QTY _______

LAS CRUCES - ORDER FORM

HOW DID YOU HEAR OF US?