| Member/Parent Name | Phyllis Gordon |
|---|
| Email | Email hidden; Javascript is required. |
|---|
| Phone | (919) 810-0660 |
|---|
| Will someone other than a parent be picking up? | No |
|---|
| Child/Children Info | | First & Last Name of Child Attending |
Member or Guest |
Pizza Preference (Cheese or Pepperoni) |
|---|
| Olivia Gordon |
Member |
Pepperoni |
| Viola Miramon |
Guest |
Pepperoni |
|
|---|
| Total # of Children Attending (Members) | Total # of Children Attending (Members), Qty: 1, Price: $10.00 |
|---|
| Total # of Children Attending (Guests) | Total # of Children Attending (Guests), Qty: 1, Price: $15.00 |
|---|
| Processing Fee | Processing Fee, Qty: 1, Price: $0.62 |
|---|
| Total | $25.62 |
|---|
| Credit Card | Visa
XXXXXXXXXXXX7319 |
|---|
