PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Banking Department Oversight and Analysis are requested to complete this reply form as soon as possible and mail it to:

Danielle Schittino
Committee Assistant
Assembly Committee on Banks
Room 520 - Capitol
Albany, New York 12248
E-mail: schittinod@assembly.state.ny.us
Phone: (518) 455-4928
Fax: (518) 455-5182
box
I plan to attend the public hearing on Banking Department Oversight and Analysis to be conducted by the Assembly Committee on Banks and the Assembly Committee on Oversight, Analysis and Investigation.
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.
box
I will address my remarks to the following subjects:

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

box
I do not plan to attend the above hearing.
box
I would like to be added to the Committee's mailing list 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:
___________________________________________________________________