PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on Broadwater Energy's Proposed Offshore Liquefied Natural Gas Importation Terminal to be held on February 15, 2005, or who wish to submit written testimony only, are requested to complete and return this reply form by February 7, 2005 by mail or fax to:

Nathan Marks
Policy Analyst
Office of State Senator Carl L. Marcellino
LOB Room 812
Albany, NY 12247
e-mail: nmarks@senate.state.ny.us
(518) 455-2390
fax (518) 426-6975

(It is important that the reply form be fully completed and returned so that persons may be notified in the event of emergency postponement or cancellation.)


box I plan to attend the public hearing on February 15, 2005 to be conducted by the Senate Committee on Environmental Conservation, the Assembly Committee on Environmental Conservation, the Senate Committee on Energy and Telecommunications, and the Assembly Committee on Energy.

box I have been invited to make a public statement at the hearing. My statement will be limited to 5 minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

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's mailing lists for notices and reports.

box I would like to be removed from the Committee's 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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