IEM Request – CreekHelp

First Name

Last Name

Email Address

Phone Number

Serving Campus

Step 1: Get Molds of Ear Made

Julie Lewandowski will be contacting you to set up your impression appointment. If you choose to get impressions done on your own, with your payment, work with your Arts Director to deliver them to our Central Offices.

I plan to make my appointment by:

If ordering 64 Audio, please follow THIS instruction sheet for submitting photographs of your molds.

If ordering JH Audio, please following THESE instructions to submit photographs of your molds.

Step 2: Choose IEM

Vendors:
Alclair (https://alclair.com)
Dual XB or Versa Dual - $312 with discount

64 Audio (https://64audio.com)
15% discount starts at A3t model = $764.15

JH Audio (https://jhaudio.com)
JH/7 3-driver - $584 with 10% discount

Make/Model of IEM

URL link

Left Faceplate Color

Left Shell Color

Graphic/Image?

Upload Graphic

Maximum file size: 33.55MB

Specify which Company Logo

Right Faceplate Color

Right Shell Color

Graphic/Image?

Upload Graphic

Maximum file size: 33.55MB

Specify which Company Graphic

Cable Color and Length

Any other personalizations or specifications

Step 3: Payment

Indicate Payment Method

If Alclair Dual - all set!

Pay Remainder above $349 via Check or Online Giving (specify name and "for IEM" in memo of check)

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