Request for Representation If you're ready to build your brand with Impact Group, fill out the form below to get in touch. Contact Information First Name * Last Name * Title * Phone * Email Address * Company Information Company * Address* City * State * Zip * Country * Number of Employees * Total US Scan Dollars * < $1 MM$1 MM to $3 MM$3 MM to $5 MM$5 MM to $10 MM> $10 MM Route To Market * DirectDistributionDSDSelf-Distribute Years in Business * Channel(s) Use Ctrl + Click to select multiple channels * ClubConvenienceFood ServiceGroceryMassNatural Service Type * Full ServiceInsightsRetailMarketingSales Website * Social Media Facebook * Instagram * Twitter * LinkedIn * Additional Information Comments *