Request Layout Design

Please fill the request for layout form below, or print and fax the pdf layout request

Additionally, please send us a copy of your menu to complete your request. We can accept fax, email, or file upload.

Please complete every field of the following form and fax a complete copy of your menu to 775-882-5210. Your first layout will be free and there is no obligation to purchase. you will receive your layout in 3-5 business days. If you need assistance filling out this form or have any questions once submitted, please contact our Customer Satisfaction Department at 1-800-321-8105.

BEFORE IMPACT CAN PROCEED WITH YOUR FREE LAYOUT, A COMPLETE MENU MUST BE FAXED TO 775-882-5210 OR EMAILED TO INFO@IMPACT-POP.COM AS AN ATTACHED WORD, EXCEL, OR PDF FILE.

Customer Information

Business Name:*
Contact Name:*
Address:*
City, State, Zip:*
Phone:*
Fax:
Email:*
What type of product are you interested in?
Is this a new purchase or for an existing system?	width x height
Have you seen an example of a menu board you would like your system to resemble? State a specific source:
What type of system are you considering?
Overall space available for system (indoor only):	width x height
Hanging Method (Indoor Only):
Changeable Pricing:
Describe your decor or color preference:
Estimated Installation Date:*
Estimated Budget Range:*
How did you hear about us?
Name & Date of Tradeshow if applicable:
Is this property part of a chain or a franchise?
Notes and Comments: