PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Preservation and Development of Affordable Housing for Senior Citizens are requested to complete this reply form as soon as possible and mail it to:

Caryn Canfield
Legislative Associate
Assembly Committee on Housing
Room 513 - Capitol
Albany, New York 12248
Email: canfiec@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-4128


box I plan to attend the following public hearing on Preservation and Development of Affordable Housing for Senior Citizens to be conducted by the Assembly Committees on Housing and Aging and the Subcommittee on Rentention of Homeownership and Stabilization of Affordable Housing on October 27, 2005.

box 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.

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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:

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