Contact Us form - Positive Impact Corporation


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Phone:(203) 588-0933 Location: Positive Impact Corporation 130 Shelter Rock Road Stamford, CT 06903 Email Address: info@pic-us.com Web address: www.pic-us.com

Let's make this simple for you. Describe in your own words what you are seeking to do and how you think we may be able to help you. Include your email address (will NOT be shared or distributed to 3rd parties) and, if you would like, add your phone number(s).

What interests you?

How can we reach you?
(* required entries)

	First Name*
	Initial
	Last Name*
	Email Address*	Your email address will NOT be shared with or sold to third parties.
Select 'Submit' below OR Fill in the following optional fields and then submit.
	Business Phone
	Cell Phone
	Fax
	Street Address
	Address 2	(e.g. Suite # - leave blank if not appl.)
	City
	State/Province
	Postal Code
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