Speaker Request Form

Complete the form below to invite Dr. Diana to your event. All fields marked with * are required.

1 Organization Details

Requesting Organization *

Type of Organization *

For Profit Non Profit

2 Event Information

Type of Event *

Event URL *

Date of Event *

3 Event Location

Location of Event * (Note if virtual)

Address of Event

4 Topic and Timing

Topic *

Time of Event (Pacific Time) *

Time Speaker Would Speak (Pacific Time) *

Length of Talk *

Expected Attendance *

Profile of Attendees *

5 Authorizing Party and Contact

Authorizing Party Name *

Authorizing Party Title *

Primary Contact (if different from authorizer)

Phone *

Email *

6 Speaking Fees

This is an invitation, not a contract. The requesting organization provides air travel, hotel accommodations, and meals, if applicable.

Small non-profit, inside contiguous 48 United States $3,000 – $5,000

For-profit, large non-profit, national / international conventions, inside contiguous 48 United States $6,000 – $8,000

For-profit, large non-profit, national / international conventions, outside contiguous 48 United States $9,000 – $15,000

Half day training rate $7,500

Full day training rate $12,000

In circumstances where the requesting party seeks a partial or full waiver of any speaking fees, please note your extenuating circumstances below.

Fee Waiver Request (optional)

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Thank you for your interest in booking Dr. Diana Hoppe. Her team will review your request and be in touch within 2 business days.