Patient support Groups 2021 Your name*Name of person submitting this information First Last Your email address* Name of PSG*As you would like it to appear in the delegate handbook PSG websiteThis will be included in the delegate handbook. Please leave blank if you do not wish for this information to be included. PSG telephone numberThis will be included in the delegate handbook. Please leave blank if you do not wish for this information to be included. PSG emailThis will be included in the delegate handbook. Please leave blank if you do not wish for this information to be included. PSG profilePlease attach your company profile that you would like to appear in the delegate handbook. Maximum 100 words. MS Word documents onlyMax. file size: 15 MB.PSG logoPlease attach you company logo. JPEG onlyMax. file size: 15 MB.Any dietary requirements