Please provide complete the following form to submit a reprint 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 reprinted.
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 a type for the open region (A1 Ring as standard if nothing selected)
If nothing is selected then Thin Wall Tubing will be used as standard
If nothing is selected then Thin Wall Tubing will be used as standard
Please add any additional information e,g, colour, vent size, type of tubing, high powered, double dip)
Other helpful information

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