PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on the economic impact of the video lottery revenue on New York racetracks and the state budget are requested to complete this reply form as soon as possible and mail, email or fax it to:

Danielle Schittino
Analyst
Assembly Committee on Racing and Wagering
New York State Capitol - Room 442
Albany, New York 12248
Email: schittinod@assembly.state.ny.us
Phone: (518) 455-4311
Fax: (518) 455-7095
box
I plan to attend the following public hearing on the economic impact of the revenues generated by video lottery gaming on New York racetracks and the state budget to be conducted by the Assembly Committee on Racing and Wagering on Tuesday, December 11, 2012.
box
I plan to make a public statement at the hearing. My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide ten copies of my prepared statement.
box
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's mailing list for notices and reports.
box
I would like to be removed from the Committee's mailing list.
box
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: