E-Cigarette & Warning in 9 Webinar First Name*Last Name*Professional Designation*PediatricianFamily PhysicianNurse PractitionerEmail Address*City & State (of your office)*Good Standing Member?*YesNoYes, I would like to attend the workshop checked below. *Times listed are ESTJanuary 26th @ NoonFebruary 13th @ NoonFebruary 28th @ 6:30 pmMarch 29th @ 6:30 pmApril 13th @ NoonMay 16th @ NoonJune 19th @ 6:30 pmJuly 16th @ NoonEmailThis field is for validation purposes and should be left unchanged.