PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on February 27, 2006, are requested to complete this reply form as soon as possible and mail or fax it to:

Maureen Schoolman
NYS Assembly
Program Development
Empire State Plaza
Agency Bldg. 4; 12th Fl.
Albany, New York 12248
Phone: (518) 455-4884
Fax: (518) 455-4175


box I plan to attend the public hearing on The Role of the State in Commercializing Research & Development Innovations to be conducted by the Assembly Task Force on University-Industry Cooperation.

box 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:



box I do not plan to attend the above hearing.

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

box 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:




NAME:

ORGANIZATION:

ADDRESS:

TELEPHONE:
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