PUBLIC HEARING REPLY FORM
Persons interested in presenting testimony at the public hearing on Senior Centers - Funding,
Challenges, and Value to the Community to be held on November 16, 2010, or who wish to
submit written testimony only, are requested to complete and return this reply form to:
Assembly Committee on Aging
Alfred E. Smith Office Building
80 South Swan St., Floor 22
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250
I plan to attend the public hearing on Senior Centers - Funding, Challenges, and Value
to the Community to be conducted by the Assembly Committees on Aging and Children
and Families on November 16, 2010.
I plan to make a public statement at the hearing. My statement will be limited to 5 minutes,
and I will answer any questions which may arise. I will provide 10 copies
of my prepared statement.
I will address my remarks to the following subjects:
I do not plan to attend the above hearing.
I would like to be added to the Committees' mailing list for notices and reports.
I would like to be removed from the Committees' mailing list.
I will require assistance and/or handicapped accessibility information.
Please specify the type of assistance required: