PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Housing for People with Disabilities are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Zach Shapiro
Committee Assistant
Assembly Committee on Housing
Alfred E. Smith Bldg., 22nd Floor
Albany, New York 12248
E-mail: shapiroz@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the following public hearing on Housing for People with Disabilities to be conducted by the Assembly Committee on Housing on November 13, 2009.
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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.
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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 and Task Force's mailing lists for notices and reports.
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I would like to be removed from the Committee's and Task Force's mailing lists.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


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