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Age: Date: Dispenser Information Bill To: (The invoice for this order will be sent to this address.) Westone Account No. Shipping Code P.O. Number Submitted By: Phone: Ext. #: Shipping Ins.

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How to fill out the Westone Order Form online

Filling out the Westone Order Form online can streamline your ordering process, ensuring that all essential information is accurately captured. This guide provides clear and detailed instructions for completing each section of the form, making it user-friendly for all levels of experience.

Follow the steps to complete your Westone Order Form online.

  1. Click ‘Get Form’ button to initiate the download of the form and open it in your preferred online editor.
  2. Begin by entering the patient's name, age, and date at the top of the form. Ensure this information is accurate to prevent delays.
  3. Provide dispenser information in the designated 'Bill To' section. Include all addresses, your Westone account number, and contact details for the person submitting the order.
  4. Select the shipping instructions. Choose to ship to the dispenser, the patient, or another address. Specify the desired shipping method; options include FedEx Priority Overnight or Standard Shipping.
  5. In the 'Billing Method' section, indicate whether you will pay via Westone account, check, or credit card. If using a credit card, provide the necessary information including card number and expiration date.
  6. Detail any special requests or information needed for your earpiece order. This is important for custom specifications.
  7. Choose earpiece styles for both the left and right ear. Specify any fitting requirements and preferences regarding materials and colors, as indicated in different sections of the form.
  8. Complete the hearing loss section by indicating the severity level and provide an audiogram if applicable. This ensures proper fitting and functionality of the earpiece.
  9. Choose any venting options and tubing types as applicable, ensuring to select options that fit your earpiece style.
  10. Review all sections carefully, ensuring all fields are completed accurately. Once done, save your changes, download, print, or share the completed form as needed.

Complete your Westone Order Form online today for a streamlined order experience.

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Contact support

At Westone Audio, we value your satisfaction. If you have any questions, please contact us by email at customerservice@westoneaudio.com or call 1-949-793-8136.

The Pro X10 deliver both comfort and proper in-ear coupling, thus facilitating a dynamic propulsion of sound. The earphones employ Westone's balanced-armature drivers to deliver a frequency response of 20 Hz to 16 kHz at a sensitivity of 114 dB SPL.

TECHNICAL SPECS: The Westone Audio AM Pro X30 features three balanced-armature drivers and a 3-way passive crossover, with 124 dB @ 1mW sensitivity, 20Hz – 18kHz frequency response, and an impedance of 56 ohms @ 1kHz. Features passive Ambient Patented Technology.

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