PUBLIC HEARING REPLY FORM

Persons interested in presenting testimony at the public hearing on Debt Collection Practices to be held on October 24, 2006, or who wish to submit written testimony only, are requested to complete and return this reply form to:

Nichole Hedglin
Legislative Associate
22nd Floor, AESOB
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250


box I plan to attend the public hearing on Debt Collection Practices to be conducted by the Assembly Committee on Consumer Affairs and Protection and the Assembly Committee on Judiciary on October 24, 2006.

box I plan to make a public statement at the hearing. My statement will be limited to 10 minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

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I will address my remarks to the following subjects:



box I do not plan to attend the above hearing.

box I would like to be added to the Committee mailing list for notices and reports.

box I would like to be removed from the Committee mailing list.

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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE:
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