Kickstarter Backer Shipping Information Request Form

We have fulfilled all Kickstarter rewards for the ones who have responded to our survey and the ones whom we have the shipping address on file. For those who may be reading this and are wondering why you still have not received your Helix Cuff yet. We will be fulfilling the remaining Kickstarter rewards once we received your shipping information, we will need your response to confirm your personal information before we can make the arrangement. Please fill out the form below.

Email of Your Kickstarter Account *

This has to be your email used for your Kickstarter account.

Your Backer Number for The Helix Cuff Project *

To find your backer number, 1) Log in to Kickstarter 2) Visit our campaign page on Kickstarter https://www.kickstarter.com/projects/1889846331/helix-wearable-cuff-with-stereo-bluetooth-headphon 3) Click "View pledge" and find your back number at the bottom of the pop-up panel.

Color Selection

1st Helix Cuff *

If you have pledged only ONE Helix Cuff, select your color here.

2nd Helix Cuff *

If you have pledged TWO Helix Cuffs, select the color for your 2nd Helix Cuff. If you have pledged only ONE Helix Cuff, select N/A.

Shipping Information

Full Name *

Address *

City *

State/Province *

Country *

Zip/Postal Code *

Phone *