PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on statewide cable franchise agreements are requested to complete this reply form as soon as possible and mail or fax it to:

Jonathan Lamberti
Committee Assistant
Assembly Committee on Corporations, Authorities and Commissions
Room 513 - Capitol
Albany, New York 12248
Email: lamberj@assembly.state.ny.us
Phone: (518) 455-4881
Fax: (518) 455-4128


box I plan to attend the public hearing on statewide cable franchise agreements to be held by the Assembly Standing Committee on Corporations, Authorities and Commissions.

box I have been invited to make a public statement at the hearing. I will answer any questions that may arise. I will provide 10 copies of my prepared statement.

box I would like to be added to the Committee mailing list for notices and reports.

box I would like to be removed from the Committee mailing list.

box

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




NAME:

TITLE:

ORGANIZATION:

ADDRESS:

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