New Customer Registration

Welcome to Impact !


So you're ready to register as a wholesale customer? It's great to have you onboard!

Fill in the details below to start the ball rolling.

We'll send you a web login to access pricing then one of our Reps will be in touch to discuss your needs.


If you want to go to the next step and apply for an account with us tick this box to show the extra details we need from you  

Customers registering from overseas please email sales@impactmerch.com.au

Already a customer with Impact? Contact the office for a web login on 02 9481 7344 or reception@impactmerch.com.au

We need the below details

Business and Contact Details


Company Details



Trading Address (Delivery)



Please provide 3 companies that you have been trading with for a minimum of 6 months

Trade Reference 1




Trade Reference 2




Trade Reference 3