LATCH-AZ January 19, 2012 LATCH-AZ presents Christina Smillie, MD, FAAP, FABM, IBCLC Tempe AZ and videoconference9:00 AM to 3:00 PMRio Salado Conference Center2323 West 14th StreetTempe, AZ 85281 Question Title * 1. Please provide your contact information. Name: * Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: * Question Title * 2. Would you like to be added to the mailing list for future events? Yes No Question Title * 3. Which session will you attend? Tempe Thursday January 19, 2012 (lunch from 12-1 pm, on your own) Cottonwood (Videoconference site) Flagstaff (Videoconference site) Tucson (Videoconference site) Payson (Videoconference site) Nogales (Videoconference site) Winslow (Videoconference site) Ft. Defiance (Videoconference site) Yuma (Videoconference site) Next