PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on a Dedicated Beer Excise Tax to Fund Alcoholism and Substance Abuse Prevention, Treatment, and Recovery Services are requested to complete this reply form as soon as possible and mail it to:

Willie Sanchez
Legislative Associate
Assembly Committee on Alcoholism And Drug Abuse
Room 522 - Capitol
Albany, New York, 12248
E-mail: sanchezw@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693


box I plan to attend the following public hearing on a Dedicated Beer Excise Tax to Fund Alcoholism and Substance Abuse Prevention, Treatment, and Recovery Services to be conducted by the Assembly Committee on Alcoholism and Drug Abuse on December 15th 2008.

box I plan to make a public statement at the hearing. My statement will be limited to 10 minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

box I will address my remarks to the following subjects:

box I do not plan to attend the above hearing.

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:




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