IMPACT INFORMATION REQUEST FORM

Please fill out the following form and submit it to Impact Technology.

We recieve a lot of requests but we will make every effort to contact you quickly.

 

first name
last name 
company 
 address
 
city 
state/province 
country 
zip 

telephone
fax  
e-mail  

Information about your audio system:

speakers  
amp  
 preamp  
CD source  
phono  
cables  
other  

Information about your home theater system

processor  
amplifier  
 speakers  
subwoofers  
source  

How many times a year do you purchase
audio / multimedia equipment?

1 - 2
 3 - 4
 5 or more

Your main interest in equipment is:

Primarily Home Theater
Primarily 2 channel Audio
Audio and Home Theater

Audio Questions and / or Comments

Click the submit button to send your information.