AAP DISTRICT VIII SECTION ON PERINATAL PEDIATRICS 31ST ANNUAL CONFERENCE ON NEONATAL/PERINATAL MEDICINE June 29 - July 2, 2006 ABSTRACT FORM PRESENTING AUTHOR: Name POSITION, TITLE AND ADDRESS: TELEPHONE: Position, Title Address line 1 Address line 2 include area code I WOULD PREFER ORAL PRESENTATION Email POSTER COMMUNICATION Type within the lines Abstract FOR PUBLICATION OF THE CONFERENCE PROCEEDINGS, I HEREBY GIVE PERMISSION TO REPRODUCE MY PRESENTATION, WITHOUT FURTHER CONSENT. Signature: _________________________________________ Sponsor’s Signature: ________________________________ DEADLINE FOR RECEIPT OF ABSTRACT IS MAY 1, 2006. Date: ___________________