NVIDIA had a paper launch of the Fermi cards last weekend. As you know, all the cards looks exactly the same as they are all based on the NVIDIA original reference design. In fact, it is just the sticker that differ from one manufacturer to another.
Inno3D, a HK based VGA card maker has the first custom designed card ready. While it is uncertain when they will start selling this product, the pictures are already floating on the internet. Attached please see the pictures of the card from various angles.