Custom IEM Quotation Form - Acustoms > Custom In Ear Monitors Australia
Custom In Ear Monitors - we work with the best brands in the world: 1964 Ears, JH Audio, Inspire Audio, Unique Melody, Westone, we got you covered!
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Custom IEM Quotation Form

Personal, Brand & Spec details.

Client Name (required)

Phone Number (required)

Your Email (required)

Initials (required)

Brand (required)

Model (required)

Cable Required
 Yes No

Colours & Artwork.

Left Tip Colour

Left Shell Colour

Left Faceplate Colour

Left Faceplate Insert

Left Artwork File

Right Tip Colour

Right Shell Colour

Right Faceplate Colour

Right Faceplate Insert

Right Artwork File

Any special requests/notes.

Notes

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Remember to take your Ear Impressions with one of our recommended audiologists and send them to the address below:

Mail your Ear Impressions to:
Acustoms
Level 40, 140 William St
Melbourne VIC 3000
Australia