Home LTAP Western Region Meeting Registration - 2024 LTAP Western Region Meeting Registration - 2024 The LTAP Western Region Meeting is being held this year from April 9-10 at the Casino Del Sol in Tucson, AZ. Please complete the following form to register for this event. Current Start Preview Complete Course Name Agency Contact Information Contact Person's Full Name LTAP Agency Contact Person's Agency Email Contact Person's Agency Phone Administrator Information for Payments Administrator’s Full Name for Invoicing Administrator’s Agency Email for Invoicing Administrator’s Agency Phone for Invoicing Agency Mailing Address for Invoicing Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Course Name Course Date Employee #1 FULL First & Last Name Do not enter nicknames, shorthand, or alternate names. Email Phone Employee #2 FULL First & Last Name Do not enter nicknames, shorthand, or alternate names. Email Phone CAPTCHA What code is in the image? Enter the characters shown in the image. Preview Submit Leave this field blank