Evaluation of the Tobacco Use Prevention and Control Program
Reply Form - Please Respond By Friday, February 4, 2005

Mail to: Assembly Health Committee, Room 822, Legislative Office Bldg., Albany, NY, 12248
or fax to: 518-455-5939

box I plan to testify at the February 9 hearing on evaluation of the Tobacco Use Prevention and Control Program.

box I plan to attend, but not testify, at the February 9 hearing on evaluation of the Tobacco Use Prevention and Control Program.

box I will require assistance and/or handicapped accessibility information. Please specify type of assistance required:






Name:

Title (if applicable):

Organization (if any):

Address:

City/State/Zip:

Telephone/Fax:

E-mail:


Back