VICIS R2 ORDER FORM

Please fill out the form and select any additional parts and/or services you would like applied to your ZERO1 during the reconditioning process. You will be billed after the inspection has been completed. Return shipping will be included in your reconditioning fee.

‍Standard R2 Service Fee - $75.00/helmet

‍Services included: Comprehensive inspection performed by a highly-trained VICIS technician, cleaning and sanitizing, replacement of the attachment hardware (facemask & chinstrap), outer shell polishing, repairs covered under warranty, testing and recertification to NOCSAE standards.

‍Before returning your ZERO1, please remove your mouthguard, chincup, and football visor/shield. If these are sent to VICIS, they will not be returned.

TEAM/PROGRAM NAME *CONTACT NAME *

First

Last

Email *

Enter Email

Confirm Email

PHONE *

BILLING CONTACT NAME *

First

Last

BILLING CONTACT PHONE *

SHIPPING ADDRESS *

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

PLEASE SELECT THE QUANTITY, FINISH, AND COLOR OF THE HELMETS YOU ARE SENDING TO BE RECONDITIONED *

If you have additional helmets with different finishes or colors that need to be reconditioned, please add a new line by clicking on the "+" button next to the color column.

Quantity

Finish

Color

OPTIONAL PARTS AND SERVICES

PLEASE NOTE YOU ARE NOT REQUIRED TO CHOOSE ANY PARTS OR SERVICES LISTED BELOWBy checking this box I approve all VICIS recommended services that may incur additional costs.IF REPAINTING IS REQUIRED PLEASE SELECT THE QUANTITY, FINISH, AND COLOR

If you have additional helmets with different finishes or colors that need to be repainted, please add a new line by clicking on the "+" button next to the color column.

Repaint Tier 1 - Molded Colors (+$12)
‍
Repaint Tier 2 - Matte, Metallic, and High Gloss Colors (+$25)
‍
Repaint Tier 3 - Candy and Pearl Colors (+$35)
‍
Repaint Tier 4 - Custom Finishes (By Quote)

PLEASE LABEL WHICH HELMET(S) YOU WOULD LIKE REPAINTED USING ATHLETIC OR PAINTER'S TAPE.

Quantity

Finish

Color

SOFT GOODS AND HARDWARE

REPLACE LINERS? *

Dependant on which liners need to be replaced, cost may vary: Front/Back Liner - $50.00
Side Liner - $50.00
Ridge Pad - $10.00

REPLACE JAW PADS? (+$30) *

FACEMASK OPTIONSStrip/Dip (remove old coating and re-coat same color) +$17/facemask.

*If you wish to work directly with Green Gridiron, you may do so.

REPLACE FACEMASK? ($150+)

FACEMASK STYLE

If you choose to replace your facemask, please select your desired style below:

FACEMASK COLORS

HELMET RETURN TIME FRAME

Reconditioning and recertification may take up to 6-8 weeks depending on date of receipt. Please indicate below if you need your helmet back sooner and we will try to accommodate your request. You may also use this section to communicate anything else you feel is important for us to know about your helmet.

Reconditioning Order Number

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.