Notice Of Public Hearing (Page 2 of 2) in pdf

Notice Of Public Hearing Page 2

PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on the Economic Development and

Small Business Budget Hearing are requested to complete this reply form as soon as possible

and mail, email or fax it to:

Katie Kurtessis

Committee Assistant

Assembly Committee on Economic Development, Job Creation, Commerce and Industry

Room 520- Capitol

Albany, New York 12248

Email: kurtessisk@ssembly.state.ny.us

Phone: (518) 455-4928

Fax:

(518) 455-5182

I plan to attend the Economic Development and Small Business Budget Hearing on

December 4, 2015.

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.

I will address my remarks to the following subjects:

I do not plan to attend the above hearing.

I would like to be added to the Committee mailing list for notices and reports.

I would like to be removed from the Committee mailing list.

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: ___________________________________________________________

Notice Of Public Hearing Page 2