PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Critical Issues Facing the Dairy Industry in New York State are requested to complete this reply form as soon as possible and mail it to:

Catherine Mural
Director of Legislation
New York State Senate Committee on Agriculture
Legislative Office Building, Room 805
Albany, New York 12247
Email: mural@senate.state.ny.us
Phone: (518) 455-3563
Fax: (518) 426-6905


box I plan to attend the following public hearing on Critical Issues Facing the Dairy Industry in New York State to be conducted by the Assembly and Senate Committees on Agriculture on (check all that apply):

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Monday, January 22, 2007 - ALBANY

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Wednesday, January 24, 2007 - SYRACUSE

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Thursday, January 25, 2007 - ROCHESTER

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Thursday, February 1, 2007 - BUFFALO

box I was invited to provide oral testimony and plan to make a public statement at the above hearing(s). My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

box I plan to submit written testimony at the above hearing(s). My statement will be limited to ten 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:

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