EXCHANGE FORM

TO RETURN:

1. Repackage the item for return

2. Include a complete copy of this form

3. Add $8 for replacement shipping via UPS

(Make checks payable to Vest Enterprises, LLC)

SHIPPING ADDRESS h 2419 E. HARBOR BLVD., #172 h VENTURA, CA 93001

PERSONAL INFORMATION:

LAST NAME FIRST NAME

ADDRESS

CITY STATE ZIP

TELEPHONE EMAIL ADDRESS

PRODUCT INFORMATION:

PRODUCT NAME / ORDER NUMBER DATE ORDERED

REASON FOR RETURN

REPLACEMENT PRODUCT:

PRODUCT NAME

SIGNATURE DATE