PUBLIC HEARING REPLY FORM

Persons invited to testify at the public hearing on examining policies to improve in-person voting in New York are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Laurie Barone
Senior Analyst
Assembly Committee on Election Law
Room 1147 80 So. Swan Street
Albany, New York 12248
Email: Baronel@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-3669
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I plan to attend the following public hearing on examining policies to improve in-person voting in New York to be conducted by the Assembly Committee on Election Law on December 14, 2012.
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I plan to make a public statement at the hearing. 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:


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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 Committee's mailing list for notices and reports.
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I would like to be removed from the Committee's 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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