PERK & COMPANY
1612 N. 60TH STREET
LINCOLN, NE 68505-1720
E-Mail: PerkCo@integritytech.com
PHONE: 402 467-2815 FAX ORDERS: 402 467-2815
For Credit Card Orders Click HERE
Note: Perk & Co. only ships products to the continental US.

Print out this page and mail with your check to the above address.


ORDER SHEET
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QUANITY
SIZE
ITEM
COLOR
PRICE EACH
PRICE TOTAL

Sample: 2 cases quarts paint Cat Yellow $93.90 $187.80
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SUB- TOTAL___________________________
SHIPPING+ ___________________________
NEBRASKA RES. ADD TAX +____________________________
GRAND TOTAL ENCLOSED=____________________________

CHECK NO___________ MONEY ORDER NO.____________


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