PUBLIC HEARING REPLY FORM

Persons interested in presenting testimony at the public hearing on Aging Neighborhoods and the Evolution of Senior-Friendly Communities to be held on December 4, 2013, or who wish to submit written testimony only, are requested to complete and return this reply form to:

Matthew Aumand
Assembly Committee on Aging
Capitol Building, Room 513
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the public hearing on Aging Neighborhoods and the Evolution of Senior-Friendly Communities to be conducted by the Assembly Committees on Aging on December 4, 2013.
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I plan to make a public statement at the hearing. My statement will be limited to 5 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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