Book Peter C. Groff

Book Peter C. Groff for Your Event!
Speaking Engagement Request Form

Please complete the following form to book Peter C. Grofffor a training or keynote.

First Name

Last Name

Email Address

Daytime Phone #

Website URL

I'd like Peter to:

Name of Event

How many people will be attendance?

What is the time allotted for Peter to speak? What time will she speak?

What is the travel time?

What is the arrival time?

Are any of the following prohibited: sales, free drawings, a sales table at the event for display of products?

Yes No

What is your goal for this event?

Describe your audience demographics.