PUBLIC HEARING REPLY FORM

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

Nichole Hedglin
Committee Assistant
Assembly Committee on Governmental Operations
AESOB 22nd Floor
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250


box I plan to attend the following public hearing on Reapportionment to be conducted by the Assembly Committee on Governmental Operations and the Legislative Task Force on Demographic Research and Reapportionment on January 16, 2007, in Albany, NY.

box I plan to make a public statement at the hearing identified above. My statement will be limited to ten 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:

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