Thank you for your interest in the Virginia Diabetes Prevention and Control Project's "Diabetes and Tobacco: A Dangerous Combination" webinar scheduled for January 23, 2013 at 2:00 p.m. - 3:00 p.m.

Please enter your contact information below to register for this event. You will receive the webinar link via email within 48 hours of registration. Please note: this link will not be active until the day of the event.

Registration ends on January 21, 2013.

* 1. Registrant Name:

* 2. Name of Organization:

* 3. Email Address:

* 4. Are you attending this webinar as a single user (just you on one computer) or are you attending in a group (sharing a computer with one or more other people)?

* 5. Are you a member of the Virginia Rural Health Association?