Return & Exchange Form - Jegs High Performance

1 Return & Exchange form Service Is Our Most Important Product INFORMATIONName_____Address_____City____ _ State ___ Zip _____Phone (Day)_____ (Evening) _____Email_____Invoice#_____List the items that you are replacement items herePLEASE INDICATE THE OPTION YOU WISH TO TAKE: Replace/ Exchange (if you owe additional $, how would you prefer to pay?): Credit Card Account #:_____ Exp. Date: _____ Check or Money Order Included:$_____ Refund - Your original form of payment will be refunded. If original form ofpayment is no longer valid a JEGS Gift Certificate will be issued.

2 Other (explain briefly): _____I AM RETURNING THIS MERCHANDISE FOR THE FOLLOWING REASON (please check one): Item Damaged/Defective (explain briefly): _____ Not Satisfied (explain briefly): _____ Wrong Item Sent (explain briefly): _____ Other (explain briefly): _____ Please Return all new/unused products in their originalpackaging within 90 days of purchase. Returned products that are more than 90 days old, or returnedwithout original packaging, are subject to a 15% restocking fee. Shipping charges are non-refundable. Please include your original invoice with this completedreturn & Exchange form .

3 This helps to expedite processing &speed up your Return . Keep a copy for your records. For a fast and easy way to Return an item, visit foronline returns. Send items prepaid; FedEx, UPS, or Insured USPS to:JEGS Mail OrderAttn: Return Department101 JEGS Place Delaware, OH 43015 QtyDescription of Returned ItemsPart #Price EachTotalQtyDescription of Items to be SentPart #Price EachTotal