PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing(s) on Addressing the Financial Problems of Upstate Cities in Rochester on October 11th, 2006 or in Syracuse on October 13th, 2006 are requested to complete this reply form as soon as possible and mail it to:

Deborah Stevens
Legislative Associate
Assembly Committee on Cities
Room 520- Capitol
Albany, New York 12248
(518) 455-4363
(518) 455-5182 Fax


I plan to attend the following public hearing on the financial problems of upstate cities in New York State on the following date(s):

box Wednesday, October 11th in Rochester
box Friday, October 13th in Syracuse

I plan to make a public statement at the hearing on the financial problems of upstate cities in New York State on the following date(s):

box Wednesday, October 11th in Rochester
box Friday, October 13th in Syracuse


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 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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