Request Form – Global Impact Summit & Awards 2026

Full Name *

Email Address *

WhatsApp Number *

Country of Residence *

Designation / Position *

Company / Organization *

LinkedIn Profile *

Which category best describes your leadership? *

Which area best aligns with your work and impact? *

Tell us about your leadership journey. *0 / 300

What impact have you created in your industry or community? *0 / 300

Why would you like to become part of GISA 2.0 – Global Impact Summit & Awards 2027? *0 / 300

What value, expertise, or impact can you contribute to the GISA community? *0 / 300

Will you be available to attend GISA 2.0 in Phuket, Thailand from 23–28 February 2027? *

Do you currently hold a valid passport? *

Have you previously attended an international leadership summit, conference, or executive retreat? *

Commitment Check

✔ 5 Nights Premium Accommodation in Phuket, Thailand

✔ Daily Breakfast at the Host Venue

✔ Access to All Summit Sessions & Keynotes

✔ Executive Networking Receptions

✔ Leadership & Industry Roundtables

✔ Global Impact Awards Gala

✔ Exclusive Cultural & Networking Experiences

✔ Airport Transfers & Concierge Assistance

✔ Opportunities to Connect with Entrepreneurs, Investors, Policymakers, Innovators & Global Leaders

✔ Access to the GISA Global Community & Strategic Partnerships

Participation packages start from USD 2,500, depending on the approved participation pathway, accommodation category, and access level.

If your application is approved, would you be comfortable proceeding with the applicable GISA 2.0 participation package? *

If someone referred you, please mention their name. *0 / 300

Preferred Contact Method *

Expression of Interest