* 1. About you....

* 2. Will you be able to attend the Tobacco Free Rhode Island Leadership Summit on Friday, November 15, 2013 from 9:30 AM to noon?

* 3. Please check any and all box(es) below that best describe you.

* 4. Tell us which local tobacco policy issues most interest you.

* 5. If there are other topics you have or suggestions for this Summit, please send us a note in the space provided below. Thank you!!!!