PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on the effectiveness of delivery of services to MWBEs are requested to complete this reply form as soon as possible and mail it to:

Nichole Hedglin
Legislative Associate
Assembly Committee on Governmental Operations
Room 513 - Capitol
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-4128


box I plan to attend the following public hearing on Budget Implementation.

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 10 copies of my prepared statement.

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I will address my remarks to the following subjects:



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.

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:
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