PUBLIC HEARING REPLY FORM

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

Zachary Shapiro
Committee Assistant
Assembly Committee on Veterans' Affairs
22nd Floor Alfred E. Smith State Office Building
Albany, New York 12248
Email: Shapiroz@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7259
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I plan to attend the following public hearing on Women Veterans to be conducted by the Assembly Committee on Veterans' Affairs, the Subcommittee on Women Veterans and the Task Force on Women's Issues on November 16, 2009.
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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:




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I do not plan to attend the above hearing.
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I would like to be added to the Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




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