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1. Which Pizza Pirates did you order from?

2. What is that date and time or the order you are reviewing? Fill in as much as possible.

 MM DD YYYY HH MMAM/PM 
Date and time
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3. What is the ticket number of your order? Its located at the top of your receipt. Or if you know the name of the person who helped you, please enter it here.

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4. Was you order for carry out or delivery?