THE COAST HIGH PERFORMANCE 
PAY AS YOU GO PROGRAM
90 Day Same As Cash 
0% Interest	

Layaway Agreement
Coast High Performance is happy to offer Layaway to accommodate purchases for our High Performance Engine Kits, Short Blocks, Long Blocks and Crate Motors. For your ordering convenience we offer up to 90 Day layaway plans. 
We require a minimum of 20% down and with the balance being due in full prior to the item purchased being shipped. Payments must be made regularly, as scheduled, and must be received by us, on or before the day they are due. Once payment has been made in full, your Layaway item will be shipped to you after it has been fully assembled.
Layaway payments are non-refundable and no credit/refund will be issued upon failure to complete payments. Because the nature of High Performance engine components and assemblies is such that they are custom and unique to each individual customer, if the layaway is canceled during the 90 days, we retain the initial 20% deposit as a restocking fee and will credit you the difference of the payments made. Cancelations after within the first 14 days will not be subject to a restocking fee.
Because Merchandise must be ordered. If you are buying merchandise on layaway, we will begin to order your layaway items after the first 30 Days.
The layaway period starts from the date that we receive this signed form with your 20% deposit. Please fill out this form and fax or email it to your salesman to start the layaway process. Once we receive your completed Layaway Contract, we will send a money request for the 20% down. We process your Layaway payments via Paypal, Master Card, Visa, American Express, Discover, Personal Check, Cashier’s Check or direct bank transfer. 
Please indicate your preferred method of payment below.
This layaway contract is for a maximum of ninety (90) days. New layaway contracts cannot be created if you currently have an existing Layaway contract with Coast High Performance. The layaway program is only available to customers that reside in the United States of America. 
Your first payment is calculated at a rate of 20% of your current balance due.  
Any product adjustments are subject to approval; we reserve the right to deny any product adjustments or changes to orders.
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Customer Information:
Customer Name:  _____________________________________________________________________
E-mail Address:    _____________________________________________________________________
Address:                _____________________________________________________________________
____________________________________________________________________________________
City: ________________________________ State: __________ Zip: ____________________________
Day Phone: ______________________________ Mobile Phone: _______________________________

Purchase Information:

Item # & Item Description: ______________________________________________________________
____________________________________________________________________________________
Sales Order # _________________________
Purchase price: _______________________                   Shipping/Handling: ________________________
Tax (8.75% - If shipped within CA): ______________
Total Due: ______________
Total Initial Deposit (20% of Total Due): __________________
Initial Deposit Date: _______________ 
Payment method (Check one): 
Credit Card ___   PayPal ___  Personal Check ___   Cashier’s Check ___ Wire Transfer ___

Preferred Payment installment schedule (Check one): 
Payments in the amount of $ ____________ are to be made every:
Week: ___    2 Weeks: ___   Month ___     Starting Date: ____________
Final Payment due Date ____________

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All Personal Check and Cashier’s Check payments must be made payable to Coast High Performance with the Sales Order # listed on the memo section and sent to Coast High Performance Layaway, 2555 West 237th Street, Torrance, CA. 90505.
Credit Card and PayPal payments must be made over the phone by calling: Toll Free at 866.249.9143 or 310.784-1010. An email will be sent to you 7 days prior to your next scheduled installment payment date as a courtesy reminder.
I, by my signature below, hereby acknowledge that I have read the Layaway Terms and Conditions of sale for merchandise I have placed on the layaway program. I acknowledge that I understand all the terms and conditions of this layaway contract.
Upon signing, please fax back this signed form to: 310-784-2970. Upon receipt your salesman will contact you for confirmation.

Customer Signature: ______________________________________ 
Date: ___________________________

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