PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on issues concerning the State's brownfield programs to be held on August 27, 2007 or who wish to submit written testimony, are requested to complete and return this reply form by August 22, 2007 by mail or fax to:

Debbie Peck Kelleher
Committee Director
Senate Environmental Conservation Committee
Senator Marcellino
LOB 812
Albany, NY 12247
email: Peck@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 August 27, 2007 concerning the State's brownfield programs to be conducted by the Senate and Assembly Committees on Environmental Conservation.

box I have been invited 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 15 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 mailing list for notices and reports.

box I would like to be removed from the Committee 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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