PUBLIC HEARING REPLY FORM

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

Renee Skorupski
Committee Assistant
Assembly Committee on Banks
Room 520 - Capitol
Albany, New York 12248
Email: skorupr@assembly.state.ny.us
Phone: (518) 455-4928 Fax: (518) 455-5182


I plan to attend the following public hearing on CashPoint to be conducted by the Assembly Committee on Banks on June 4, 2004.

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.

I will address my remarks to the following subjects:

1.


2.


I do not plan to attend the above hearing.

I would like to be added to the Committee mailing list for notices and reports.

I would like to be removed from the Committee mailing list.

I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




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