Form

Nominate a Delegate

As a member of the Global Wellness Summit family, we value your opinion. If you know a qualified senior executive or industry leader who would be a great addition to the annual invitation-only Summit, please complete this form.

Contact Details

Please provide the contact information below of the person you are recommending.

First name*

Last name*

Company name*

Job title*

Email*

Country/Region*

Referred by (first and last name)*

As a delegate, what do you feel they would be able to contribute?*

Please provide additional information relevant to your nomination*