Booking Info

Would you like to have someone from the Greater Impact Team speak and coach at your next retreat? Please fill out this form to start the process!

Please fill out this form to request one of our certified trainers to speak at your next event.

Name of Organization*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address for the organization.
Phone
Phone for organization.
Name*
First Last

Contact Person Name
Email*

Contact Person's Email
Which Speaker Would You Like to have at Your Event?*
- Nina Roesner
- Debbie Hitchcock
- Both
What is the budget for your event?*
Date(s) of Event*
Time(s) of Event*
Lengths of Event(s)*
Describe the Event*
The demographic, the theme, the number of people expected to attend, the desire in requesting Greater Impact to speak, and any additional information you can give on the event would be helpful.
Additional Information
Any additional information that you think would be relevant or helpful for planning purposes would be greatly appreciated.

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