Pierogi Palace Order Form
Select the flavor(s) that you would like to purchase, key in the number of dozens,
then press the Tab key on your keyboard to navigate or calculate the total price.
Do NOT press the Enter key on your keyboard, please use your mouse or the Tab Key to navigate.
Please scroll down to complete and submit this form (additional instructions below).

Flavor Dozen Price/Doz Total Price
Subtotal:
Click for delivery in Cuyahoga County Shipping:  
Grand Total:

 

Select Payment Type: Cash Money Order Check

 

Bill To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Ship To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

 

 

* After clicking Submit Form, please wait for the confirmation page.
On the confirmation page, click Continue to actually submit this order.


Review Order

Additional Instructions: We recommend that you print this page before clicking the submit button. Please make sure to input your billing and shipping information, including your phone number and email address, so that we can contact you if there are any questions about your order. Also, please press the tab key on your keyboard to make sure that all totals have been calculated. Do NOT use the Enter key on your keyboard (it will submit the form before you are finished), please use your mouse or the Tab key to navigate. If you have any questions or problems with using this form, or if you would like to place a custom order, please click here to send us email or call us at (440)918-7778. Since we do not currently accept credit cards online, an invoice will be shipped along with your order. We offer a money-back guarantee if you are not completely satisfied with your pierogies.