"NO CALL"PRE-AUTHORIZED RETURN FORM Please complete the section below so we can accurately process your return.

No need to call or write-here's all you do; it's as easy as 1-2-3. 1. Item(s) being returned must be in an unaltered state and accompanied by this form and the copy of receipt. 2. When shipping merchandise to Exquisite Jewelry Group Inc., please enclose the items in a sturdy box and secure with strong tape, and save your shipping receipt. 3. For your protection, insure the package for the value of its contents, but do not send it C.O.D. Mail to:Exquisite Jewelry Group Inc. 40A W 37th Street New York NY 10018

LIST ITEMS BEING RETURNED

Return   Reason Would you like us to: Replace Substitute OK Refund$ Amount Paid (See Below) Item Number Quantily                               Yes   No Yes   No Yes   No   $ $ $ $ $

Which refund method do you prefer? Please check one: Refund Store Credit Apply to my purchases below Return total   $

Return Reasons Color or Size not as expected Quality not as expected Damaged or defective Arrived late Missing item from order Received wrong item Not exactly as pictured Did not like assortment Other (please explain) Additional Comments:

New Order-If you wish,we can send you additional new items along with your replacement items:

Item# Qty Description Unit Price Total Price         $         $         $         $         $         $         $         $         $         $

Payment Method Check or money order enclosed  We accept: Name on card Card number Security code(from back of card) Expiration Signature

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