RMA Request

Tel: 616-551-4330
4936 Kendrick Street SE
Grand Rapids, MI 49512
Email:

Items sent to us for return or core refund must be accompanied by a Return Merchandise Authorization. Fill out this brief form and an authorization number will be generated and emailed to you. Upon receiving your injector set from Exergy, you have 30 days to return your core injectors in order to receive the core refund. Upon receiving your injectors, Exergy will inspect your cores and issue a refund accordingly. Supported Image/File Formats: jpg, jpeg, gif, png, webp and pdf.

First Name *

Last Name *

Email *

Phone # *

Address Line 1 *

Address Line 2

City *

State

Zip / Postal Code

Order # *

Product Name *

Reason For Return *

Exchange / Return *

Upload Picture #1 *

Upload Picture #2

Upload Picture #3

Additional Comments