PUBLIC HEARING REPLY FORM

Persons interested in presenting testimony at the public hearing on Senior Centers - Funding, Challenges, and Value to the Community to be held on November 16, 2010, or who wish to submit written testimony only, are requested to complete and return this reply form to:

Erin Cunningham
Assembly Committee on Aging
Alfred E. Smith Office Building
80 South Swan St., Floor 22
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the public hearing on Senior Centers - Funding, Challenges, and Value to the Community to be conducted by the Assembly Committees on Aging and Children and Families on November 16, 2010.
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I plan to make a public statement at the hearing. My statement will be limited to 5 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 Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' 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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