Non-Electronic Ear Plugs and Ear Molds Order Form

Additional Filters Only:
ER-9 Filters Only - $70.00/set ER-15 Filters Only - $70.00/set ER-15 Sports Plugs Filters Only - $70.00/set ER-25 Filters Only - $70.00/set

Pick Filter Color Choice: Clear Beige Brown

Generic/Preformed Musician's Filtered Ear Plugs

(Stems are available in a variety of color choices, see below. Please specify stem and cord choice (ER-20 Ultra-tech only).)

ER-20 Hi-Fi - $15.00/pair ER-20 Ultra-tech - $15.00/pair (*Mark cord choice below)

Stem Color: Clear Stem Translucent Beige Stem Translucent Purple Stem Translucent Red Stem Translucent Blue Stem

*Cord Color: Neon Yellow Cord Black Cord Red Cord Purple Cord Blue Cord

Custom Music-Monitors Stereo speaker system, standard 1/8" plug (walkman jack). (All "Custom" requests requires ear impressions for manufacturing). Mini-Monitors (Z1, single driver) - $375.00/set Hi-Fi Monitor (Z2, dual driver) - $650.00/set Professional Music Monitors (Z3, triple driver) - $800.00/set Shell Color: Clear Red Right, Blue Left Cord Choice: Swivel Connection +$50 (Only available on Z2 and Z3 models). Prong Connection (Standard) Standard Faceplate Colors: Beige Light Tan Tan Hunter Tan Brown If you have any special instructions, (custom logoing, etc.) please explain in the space provided: Generic/Preformed Music-Monitors Stereo speaker system, standard 1/8" plug (walkman jack) Mini-Monitors(Z1,single driver) - $250.00/each Pick Z1 Body Style: Canal Mold Silicone Tips ER-4B (binaural) $330.00/pair ER-4S (stereo) $330.00/pair ER-4P (power) $330.00/pair Additional Request: Filtered ER-4 Monitor Custom Earplug Sleeves - $110.00/set (Select color choice below. Requires ear impressions for manufacturing. Please call.) ER-6 Isolators - $139.00/each ER-6i Isolators - $149.00/each Additional Request: Filtered ER-6 Monitor Custom Earplugs Sleeves - $110.00/set (Select color choice below. Requires ear impressions for manufacturing. Please call.) Competition Sports Monitors and iPlugz® Stereo headphones with standard 1/8" plug. (Please identify which "Solid", "Swirled" or "Glow" Chameleon Ear color you want with custom versions below) Competition Sports Monitors $200.00 (1 year warranty) Competition Sports Monitors $175.00 (6 month warranty) i-Plugz® Monitors $225.00 (1 year warranty) Flanged $125.00 Generic Canal Mold $125.00

Color Choice for Custom ER-Filtered Musicians Plugs

(For swirled, pick your colors.

Standard:	Red	Orange	Yellow	Green	Blue	Black
	White	Pink	Peach	Clear (Not available in floatable)
	Brown	Glow in The Dark

Glitter:	Red	Orange	Yellow	Green	Blue
	Orange	Black	White	Silver	Gold

Special Instructions


If you have any special instructions, please explain in the space provided:

Payment Method


Personal Check Company Check Visa MasterCard
Account Name
Account Number		Exp. Date / CCV
		All orders will be sent UPS Ground unless specified above. Foreign countries, please contact us before ordering.

Special EarMolds (Select color below)
	TV Mold w/clip $65.00 each	Stethoscope $45.00 each	Pilot's Mold Snap In $75.00 each	Pilot's Mold Screw In $75.00 each	Walkman $95.00 / set $110.00 w/ filtered set
	Starkey Earborne (call for pricing)	Skeleton Mold $65.00 each	Skeleton Mold with 3.5mm adapter $100.00 each	Racing Monitors Custom $175.00/set	Racing Monitors Foam Tip $100.00/set
	Receiver Mold $65.00 each	Receiver Mold with 3.5mm adapter $100.00 each	Skeleton Mold with 2.5mm adapter $100.00 each	Receiver Mold with 2.5mm adapter $100.00 each	Sonic Valve II Generic $20.00/set
	Sonic Valve II Custom $95.00/set

Chameleon Ear - Solid Ear Plugs (Select color below) - $100.00/set

Standard Floatables (not available in Illuminear)

Illuminear (Glow) (Available in yellow-green only, can be swirled)

Color Choice for Chameleon-Ears

(For swirl, pick up to five colors.)

Standard:	Red	Orange	Yellow	Green	Blue	Black
	White	Pink	Purple	Clear (Not available in floatable)

Glitter:	Red	Orange	Yellow	Green	Blue
	Orange	Black	White	Silver	Gold

Additional options:	Acoustic Filtered $20.00 extra	Corded $5.00 extra	Handles $5.00 extra
Specialty:	BTE Chameleon Ear (for Standard series electronic hearing systems) $100/set	Ear-Bud Chameleon Ear (Please provide personal ear-bud from walkman or cell phone for perfect fit) $85.00/set

Special Instructions


If you have any special instructions, please explain in the space provided:

Payment Method


Personal Check Company Check Visa MasterCard
Account Name
Account Number		Exp. Date /
		All orders will be sent UPS Ground unless specified above. Foreign countries, please contact us before ordering.


To submit an order, fill out this form, print it, and then either fax it, or mail it to: Brite Ears LLC P.O. Box 6358 Akron, OH 44312 USA Phone: (330) 618-8913 Fax: (330) 784-8884 Click here to go back to the order form list

For more information click Information Request Form and we will be happy to contact you.

E-mail: info@britears.com Disclaimer Privacy Statement Contact US

Generic/Preformed Musician's Filtered Ear Plugs

Custom Music-Monitors

Generic/Preformed Music-Monitors

Competition Sports Monitors and iPlugz®

Send mail to webmaster@britears.com with questions or comments about this web site.
Copyright © 2007 Brite Ears, LLC © 2007 E.A.R., Inc./Insta-Mold West.

All Rights Reserved. Last modified: 09/29/2008

Generic/Preformed Musician's Filtered Ear Plugs

Custom Music-Monitors

Generic/Preformed Music-Monitors

Competition Sports Monitors and iPlugz®

Send mail to webmaster@britears.com with questions or comments about this web site. Copyright © 2007 Brite Ears, LLC © 2007 E.A.R., Inc./Insta-Mold West.

All Rights Reserved. Last modified: 09/29/2008

Send mail to webmaster@britears.com with questions or comments about this web site.
Copyright © 2007 Brite Ears, LLC © 2007 E.A.R., Inc./Insta-Mold West.