PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing are requested to complete this reply form as soon as possible and mail or fax it to:

Clinton R. Freeman
Assembly Standing Committee on Ways and Means
Room 923, Legislative Office Building
Albany, New York 12248
Phone: (518) 455-5491
Fax: 455-5776
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I plan to attend the following public hearing to be conducted by the Assembly Committee on Ways and Means on Friday, October 23, 2009.
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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 do not plan to attend the above hearing.
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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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