PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Examination of Programs that Support Seniors in the Community are requested to complete this reply form as soon as possible and mail, email or fax it to:

Meghann Gordon
Committee Assistant
Assembly Committee on Aging
Alfred E. Smith Office Building - Fl 22
Albany, New York 12248
Email: gordonm@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the following public hearing on Examination of Programs that Support Seniors in the Community to be conducted by the Assembly Committee on Aging on December 13, 2011.
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I plan to make a public statement at the hearing. My statement will be limited to 10 minutes, and I will answer any questions that may arise. I will provide 10 copies of my prepared statement.
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I will address my remarks to the following subjects:


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I do not plan to attend the above hearing.
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I would like to be added to the Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


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