PUBLIC INTERVIEW REPLY FORM

This form, resume and notification that financial disclosure statements have been completed and filed with the State Ethics Commission must be submitted by all candidates requesting an interview to:

John Jay Bove, Esq.
Counsel to Senator Owen H. Johnson
Room 913 - LOB
Albany, N.Y. 12247
Phone: (518) 455-3411
Fax: (518) 455-6973
Sabrina M. Ty
Room 513 - Capitol
Albany, N.Y. 12248
Phone: (518) 455-3963
Fax: (518) 455-4128

Any questions regarding this process may also be directed to the above.



NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE:

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