PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on The Preservation Of Mitchell-Lama Housing are requested to complete this reply form as soon as possible and mail it to:

Caryn Canfield
Committee Assistant
Assembly Committee on Housing
Room 513 - Capitol
Albany, New York 12248
Email: canfiec@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-4128


box I plan to attend the following public hearing on The Preservation Of Mitchell-Lama Housing to be conducted by the Assembly Committee on Housing on March 26, 2004.

box I plan to make a public statement at the hearing. My statement will be limited to 10 of minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

box I will address my remarks to the following subjects:

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2

3

4

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.

box

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




NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

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