ROUNDTABLE REPLY FORM

Persons invited to present comments at the public roundtable examining "A Comprehensive Approach to the Opiate and Heroin Crisis" are requested to complete this reply form as soon as possible and mail, email or fax it to:

Nathaniel Jenkins
Analyst
Assembly Committee on Codes
Room 513, Capitol
Albany, NY 12248
Email: jenkinsn@assembly.state.ny.us
Phone: 518-455-4313
Fax: 518-455-3669
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I have been invited, and plan to attend and participate in, the roundtable on "A Comprehensive Approach to the Opiate and Heroin Crisis" to be conducted by the Assembly Committees on Alcoholism and Drug Abuse, Health, and Codes in Albany on May 12, 2014 at 11:00 A.M.
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I have been invited, and plan to attend and participate in, the roundtable on "A Comprehensive Approach to the Opiate and Heroin Crisis" to be conducted by the Assembly Committees on Alcoholism and Drug Abuse, Health, and Codes in New York City on June 5, 2014 at 10:30 A.M.
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I plan to attend and observe the roundtable on "A Comprehensive Approach to the Opiate and Heroin Crisis."
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I will address my remarks to the following subjects:




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I do not plan to attend or participate in the public roundtable(s) on "A Comprehensive Approach to the Opiate and Heroin Crisis."
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I would like to be added to the Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




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