PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on the Right to Repair to be held on June 9, 2010, or who wish to submit written testimony only, are requested to complete and return this reply form to:

Margarita Perez
Office of Senator Josť Peralta
Senate Consumer Protection Committee
Legislative Office Building, Room 944
Albany, New York 12247
Phone: (518) 455-2529
Fax: (518) 426-6909

Eric Jacobsen
Assembly Committee on Consumer Affairs and Protection
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 the Right to Repair to be conducted by the Senate Committee on Consumer Protection and the Assembly Committee on Consumer Affairs and Protection on June 9, 2010.
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I have been invited 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 Committees' mailing lists 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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