PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the joint public hearing on “Indian Land Claim Settlement Agreements” are requested to complete this reply form as soon as possible and mail, email or fax it to:

Richard Ancowitz, Counsel
Assembly Committee on Judiciary
Room 831, Legislative Office Building
Albany, New York 12248
Email: ancowir@assembly.state.ny.us
Phone: (518)455-5462
Fax: (518)455-5752


box I plan to attend the joint public hearing to be held at the Onondaga Co. Legislative Chamber on March 11, 2005.

box I plan to attend the joint public hearing to be held at the Legislative Office Building, Roosevelt Hearing Room C on April 5, 2005.

box I plan to attend the joint public hearing to be held at the Sullivan Co. Legislative Chambers on April 7, 2005

box I would like to make a public statement at the above-referenced joint public hearing. My statement will be limited to ten (10) minutes, and I will answer any questions which may arise. I will provide thirty (30) copies of my prepared statement.

box I will address my remarks to the following subjects:

box I do not plan to attend either of the above hearings.

box I would like to be added to the Committees' mailing lists for notices and reports.

box I would like to be removed from the Committees' mailing lists.

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:
Back