PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on examining the impact of the enacted SFY 2011-12 State Budget are requested to complete this reply form as soon as possible and mail, email or fax it to:

Laurie Barone
Senior Analyst
Assembly Committee on Election Law
Alfred E. Smith Bldg. Suite 1147
80 So. Swan Street
Albany, New York 12248
Email: baronel@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-3669
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I plan to attend the following public hearing on Examining the impact of the enacted SFY 2011-12 State Budget to be conducted by the Assembly Committee on Election Law and the Assembly Subcommittee on Election Day Operations and Voter Disenfranchisement on December 1, 2011.
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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:

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I would like to be added to the Committee's mailing list for notices and reports.
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I would like to be removed from the Committee's 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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