PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on "Retail Diversity and Neighborhood Health" are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Kim Drofitz
Senate Committee on Cities
Room 946, Legislative Office Building
Albany, New York 12247
E-mail: drofitz@senate.state.ny.us
Phone: (518) 455-2625
Fax: (518) 426-6956
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I plan to attend the following public hearing on "Retail Diversity and Neighborhood Health" to be conducted by the Senate Committee on Cities and the Assembly Committees on Cities, Economic Development and Small Business on Friday, September 18, 2009.
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I plan to make a public statement at the hearing. My statement will be limited to ten (10) minutes, and I will answer any questions which may arise. I will provide twenty (20) 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 Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' 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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