Online Order Form

Please fill out completely. This form must be signed, dated, and returned to Employee HomePerks. Click the "Submit Order" button at the bottom of the page to send your request to Employee HomePerks.

YOU WILL RECEIVE AN EMAIL CONFIRMATION WITHIN 24-48 HOURS DURING BUSINESS HOURS

If paying by check (make payable to Employee HomePerks) and mail check to:
EMPLOYEE HOMEPERKS: P.O. BOX 261 OAKLAND, TN 38060

Important Notice:

Current wait time due to COVID is 16-20 weeks for production after we place the order with the manufacturer. This does not mean your order will take longer than 20 weeks, but I have to notify you of the possibility. Overseas produced furniture is behind with Customs, and containers on ships that are coming into the U.S. The factories are unable to run at 100% with all of the new restrictions and delays. COVID has caused many issues with parts, fabrics, shipping and lack of work force. They are working hard to get items produced as quickly as possible. Current Orders are running 16 weeks for arrival but there have been instances that some orders have taken longer. Long wait times can occur and this is out of our control during this time. Please be patient during this time as we all navigate through the hardships of the Pandemic.

If you need additional information please call Customer Service (901) 310-0210 or e-mail This email address is being protected from spambots. You need JavaScript enabled to view it..

IF YOU PREFER TO FAX, TEXT, OR MAIL YOUR ORDER FORM, PLEASE CLICK HERE FOR PDF VERSION OF EMPLOYEE HOMEPERKS SALES ORDER FORM. To view the form, you must have the free Acrobat Reader program. If you don't currently have it installed, you can download Acrobat Reader here.

Employee Name(*)

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Email Address(*)

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Home or Business Phone(*)

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Cell Phone(*)

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Home Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Work Location(*)

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SAP#

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*I UNDERSTAND ALL SALES ARE FINAL AND THERE ARE NO CANCELLATIONS, RETURNS, OR REFUNDS.
Initial Here: (*)

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*ALL UPHOLSTERED MERCHANDISE MUST BE INSPECTED BEFORE REMOVAL FROM THE WAREHOUSE. NO DAMAGE CLAIMS CAN BE MADE ON UPHOLSTERED ITEMS AFTER IT IS REMOVED FROM THE WAREHOUSE.
Initial Here: (*)

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*DAMAGE CLAIMS MUST BE FILED ON NON-UPHOLSTERED ITEMS WITHIN 48 HOURS AFTER PICK UP.
Initial Here: (*)

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(There will be NO replacements for damages on non-upholstered items if reported after the 48 hour period.)

Employee Signature(*)

Sign Above

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Date(*)

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MM/DD/YYYY

How to Enter Items

The quantity field must be completed in order for your order total to calculate. Please enter the price (without $) of each single item

Example: If you wish to purchase 2 nightstands, please enter the Quantity as 2, and the Price of 1 additional nightstand.

(Do NOT enter $ into the price field)

Item 1

Vendor Name and Description(*)

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Model Name/Number or Description(*)

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Quantity(*)

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Price(*)

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Item 2

Vendor Name and Description

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Model Name/Number or Description

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Quantity

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Price

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Item 3

Vendor Name and Description

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Model Name/Number or Description

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Quantity

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Price

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Item 4

Vendor Name and Description

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Model Name/Number or Description

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Quantity

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Price

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Item 5

Vendor Name and Description

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Model Name/Number or Description

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Quantity

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Price

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CHOOSE YOUR PAYMENT BELOW: SOME COMPANIES DO NOT ALLOW PAYROLL DEDUCT

Payment Type

Payroll Deductions

Credit/Debit Account

Check or Money Order

Layaway

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Payroll Deduction Information:

(AVAILABLE TO METHODIST EMPLOYEES ONLY AT THIS TIME)

Once we receive the appropriate deduction(s) for the amount of payrolls you select you will receive an acknowledgement that your order has been placed. There is a lead time of 4-8 weeks from that date.

Learn more about payroll deduction (opens in new window)

Once this form is submitted, Customer Service will contact you during regular business hours within 24-48 hours.

Number of Payments(*)

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Amount per payment ($)

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Inital Here(*)

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Credit/Debit Account Information:

We accept Visa, MasterCard, and Discover. There is 2.64% CC processing fee.

This form does NOT process payment. Customer Service will contact you within 24-48 hours to process payment.

Credit/Debit Card Number(*)

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Exp. Date:

Month(*)

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Year(*)

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CVC Code(*)

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Check or Money Order Information:

Please make check or money order payable to Employee HomePerks and mail to:
Employee HomePerks: P.O. BOX 261 OAKLAND, TN 38060

Paying by Check or Money Order #(*)

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Layaway Information:

Using the Layaway Plan, you have up to 90 days to make your purchase by sending in payments to the address listed below. Once we receive 50% of your total we will place your order. All merchandise must be paid in full before being received, picked up at our warehouse or delivered. ALL SALES ARE FINAL. YOU HAVE 30 DAYS FROM THE TIME YOU ARE NOTIFIED YOUR ITEMS ARE AVAILABLE TO PAY THE BALANCE AND AVOID ANY ADDITIONAL FEES. If your transaction isn’t completed in the 90 day time frame there is a $50.00 late fee for each 30 day period items remain at the warehouse. You may make payments as often as you choose during this time frame (we cannot guarantee availability OR pricing past six weeks. Payments are recommended every two weeks).

Please make check/money order(s) payable to Employee HomePerks and mail to:
Employee HomePerks: P.O. BOX 261 OAKLAND, TN 38060

Once this form is submitted, Customer Service will contact you during regular business hours within 24-48 hours.

Paying by Layaway (please initial here):(*)

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Calculations

Subtotal ($)

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CC FEE (2.64%) ($)

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TAX (9.75%) ($)

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Total ($)

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(*)

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Online Order Form

Customer Service Phone # 901-310-0210

Important Notice:

How to Enter Items

Item 1

Item 2

Item 3

Item 4

Item 5

Payroll Deduction Information:

Credit/Debit Account Information:

Check or Money Order Information:

Layaway Information:

Calculations