PUBLIC HEARING REPLY FORM


Persons wishing to present testimony at the public hearing on assessing the difficulties faced by New York's cities are requested to complete this reply form as soon as possible and mail it to:


Julia Donnaruma
Legislative Associate
Assembly Committee on Cities
Room 520 Capitol
Albany, New York 12248
(518) 455-4363
FAX (518) 455-5182



box I plan to attend the following public hearing on city revitalization to be conducted by the Assembly Committee on Cities on:


box Wednesday, October 29, 2003, Buffalo

box Thursday, October 30, 2003, Syracuse

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.


box I will address my remarks to the following subjects:





box I do not plan to attend any of the above hearings.

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:

TELEPHONE:


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