Genesis Headphones | Order Form

Product Order Form

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Please select the product and quantities that you wish to order. The price per pack is reduced when ordered in a case (accessory items do not come in cases). When calculating costs, use case price for quantities of 4:

AC100 - 3.5mm Audio Splitter

1 Pack of 10: $10
2 Packs of 10: $20
3 Packs of 10: $30

If more than 3 packs, please enter quantity & total cost:

AC103 - Stereo-Mono Adapter

1 Pack of 10: $10
2 Packs of 10: $20
3 Packs of 10: $30

If more than 3 packs, please enter quantity & total cost:

AC110 - 1/8" to 1/4" Adapter

1 Pack of 10: $10
2 Packs of 10: $20
3 Packs of 10: $30

If more than 3 packs, please enter quantity & total cost:

AC205 - Stereo 1/8” 6ft. Extension Cord

1 Cord: $2
2 Cords: $4
3 Cords: $6

If more than 3 cords please enter quantity & total cost:

EB101-6 Stereo Earbuds

1 Pack of 25: $30
2 Packs of 25: $60
3 Packs of 25: $90
1 Case of 4 Packs: $95

If more than 1 case, please enter quantity & total cost:

EB101-6M Monaural Earbuds

1 Pack of 25: $28.75
2 Packs of 25: $57.50
3 Packs of 25: $86.25
1 Case of 4 Packs: $90

If more than 1 case, please enter quantity & total cost:

EB101EP Foam Ear Pads

1 Pack of 100: $5
2 Packs of 100: $10
3 Packs of 100: $15

If more than 3 packs, please enter quantity & total cost:

EB110EP Rubber Ear Tips

1 Pack of 100: $10
2 Packs of 100: $20
3 Packs of 100: $30

If more than 3 packs, please enter quantity & total cost:

EB110-4 Stereo Earbuds

1 Pack of 25: $41.25
2 Packs of 25: $82.50
3 Packs of 25: $123.75
1 Case of 4 Packs: $140

If more than 1 case, please enter quantity & total cost:

EB110-6MS Monaural Earbud

1 Pack of 25: $33.75
2 Packs of 25: $67.50
3 Packs of 25: $101.25
1 Case of 4 Packs: $110

If more than 1 case, please enter quantity & total cost:

EC107-6M Monaural Earclips

1 Pack of 25: $31.25
2 Packs of 25: $62.50
3 Packs of 25: $93.75
1 Case of 4 Packs: $100

If more than 1 case, please enter quantity & total cost:

HP103-6 Stereo Headphones

1 Pack of 25: $33.75
2 Packs of 25: $67.50
3 Packs of 25: $101.25
1 Case of 4 Packs: $110

If more than 1 case, please enter quantity & total cost:

HP103-6M Monaural Headphones

1 Pack of 25: $33.75
2 Packs of 25: $67.50
3 Packs of 25: $101.25
1 Case of 4 Packs: $110

If more than 1 case, please enter quantity & total cost:

HP105-4 Stereo Headphones

1 Pack of 25: $30
2 Packs of 25: $60
3 Packs of 25: $90
1 Case of 4 Packs: $95

If more than 1 case, please enter quantity & total cost:

HP107-6M Monaural Headphones

1 Pack of 25: $53.75
2 Packs of 25: $107.50
3 Packs of 25: $161.25
1 Case of 4 Packs: $190

If more than 1 case, please enter quantity & total cost:

HP107-4 Stereo Headphones - 4' Cord

1 Pack of 25: $46.25
2 Packs of 25: $92.50
3 Packs of 25: $138.75
1 Case of 4 Packs: $160

If more than 1 case, please enter quantity & total cost:

HP303-6 Stereo Headphones

1 Pack of 25: $58.75
2 Packs of 25: $117.50
3 Packs of 25: $176.25
1 Case of 4 Packs: $210

If more than 1 case, please enter quantity & total cost:

HP303EP Foam Ear Pads

1 Pack of 100: $6
2 Packs of 100: $12
3 Packs of 100: $18

If more than 3 packs, please enter quantity & total cost:

Please Calculate the total cost of all your products and enter here:

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