Notice of Public Hearing - Child Product Safety

PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Child Product Safety are requested to complete this reply form as soon as possible and mail, email or fax it to:

Meghann Gordon
Committee Assistant
Alfred E. Smith Office Building
80 South Swan St., Floor 22
Albany, New York 12248
Email: gordonm@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7250

I plan to attend the public hearing on Child Product Safety to be conducted by the Assembly Committees on Consumer Affairs and Protection and Children and Families on October 31, 2011.

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.

I will address my remarks to the following subjects:

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I do not plan to attend the above hearing.

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

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

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

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NAME:

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TITLE:

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ORGANIZATION:

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ADDRESS:

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E-MAIL:

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TELEPHONE:

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FAX TELEPHONE:

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