PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Increasing efficiencies in interactions between government agencies and small businesses are requested to complete this reply form and mail, email or fax it to:

Steve McCutcheon
Analyst
Assembly Committee on Small Business
Room 520 - Capitol
Albany, New York 12248
Email: mccutcheons@assembly.state.ny.us
Phone: (518) 455-4928
Fax: (518) 455-5182
box
I plan to attend the following public hearing on Increasing efficiencies in interactions between government agencies and small businesses conducted by the Assembly Committees on Small Business, Governmental Operations, Economic Development, Job Creation, Commerce and Industry, Oversight, Investigation and Analysis, and Banks, on June 26, 2013.
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 that 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 the above hearing.
box
I would like to be added to the Committees' mailing list for notices and reports.
box
I would like to be removed from the Committees' 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:


FAX TELEPHONE: