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I ordered mine a couple days ago, $54.13 + tax, from the local dealership. It may not be a popular item with most, but I like the added grip leather provides while retaining the shift pattern.
I have the 2002 shift knob, and I think I would prefer the titanium Honda knob better. The leather wrap is not that impressive to me and will wear in time.
The titanium shift know is heavier and shinier than the aluminum shift knob. The titanium one looks like chrome where as the aluminium one looks brushed.