PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearings on Financial Issues Facing Low-Income Consumers to be held on September 20, 2006 or who wish to submit written testimony only, are requested to complete and return this reply form to:

Jeffrey O'Donnell
Legislative Associate
Room 513 - Capitol
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-4128


box I plan to attend the public hearing on Financial Issues Facing Low-Income Consumers to be conducted by the Assembly Committee on Consumer Affairs and Protection and the Assembly Committee on Banks on September 20, 2006.

box I plan to make a public statement at the hearing on Financial Issues Facing Low-Income Consumers. 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:



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.

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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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