Please provide complete the following form to submit a redesign request
Please enter your name here so that we may refer back to you with any queries.
Please enter your email address to receive a copy of the data you submit
How Fast would you like the mould/s made?
Please provide accurate details for the original mould(s) that you would like to have redesigned.
This is the reference number we etch into our moulds. Please provide this number if you can.
This is the reference number we etch into our moulds. Please provide this number if you can.
e.g. 323892, Please leave blank if unknown.
Original Ear Mould Details
Please select from the following Hard Acrylic Mould types
Please select from the following Silicone Mould types
Please select from the following Soft, Soft Tip and All BodyWorn Mould types
Please select a type for the open region
Please add any additional information e,g, colour, vent Size, type of tubing, high powered, double dip)
New Ear Mould Details
Please select from the following Hard Acrylic Mould types
Please select from the following Silicone Mould types
Please select from the following Soft, Soft Tip and All BodyWorn Mould types
Please select a type for the open region
Please add any additional information e,g, colour, vent size, type of tubing, high powered, double dip)

Be advised that any incorrect or incomplete information will cause a delay in turnaround for your moulds as this will require investigating.