Palermo Pizza Parlor

at

Serendipity Ranch
Columbus, NC

March 9, 2008, 6:00 p.m.

Please fill out the necessary information so we can have everything ready to treat your taste buds.

  1. Please provide the following contact information:

    *Required Field

    First Name*
    Last Name*
    Home Phone
    E-mail*

  2. Select any of the following toppings you enjoy on pizza:

    Burger Crumble (Vegetarian)  Dried Tomatoes               Extra Cheese                 Feta Cheese                
Jalapeño Pepper              Mushrooms                    Olives, Black                Olives, Green              
Onions                       Pineapple                    Roasted Garlic

  3. Select any of the following sauces you enjoy on your pizza:

    Tomato
    White
    Both

  4. Please give us any other comments you wish to give in regards to your Pizza preferences.


Palermo Pizza Parlor at Serendipity Ranch
Copyright © 2008 [Serendipity Ranch]. All rights reserved.
Revised: March 27, 2009