PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Raising New York State's Minimum Wage are requested to complete this reply form as soon as possible and mail, email or fax it to:

Najay Roache
Analyst
Assembly Committee on Labor
Room 442 - Capitol
Albany, New York 12248
Email: roachen@assembly.state.ny.us
Phone: (518) 455-4311
Fax: (518) 455-7095
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I plan to attend the following public hearing on Raising New York State's Minimum Wage to be conducted by the Assembly Committee on Labor:

____ New York City, Monday, April 23, 2012
____ Syracuse, Tuesday, April 24, 2012
____ Buffalo, Friday, May 11, 2012
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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 mailing list for notices and reports.
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I would like to be removed from the Committee 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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