PUBLIC HEARING REPLY FORM


box I plan to attend the hearing on September 4, 2003 in Manhattan.

box I have been invited to make a public statement at the hearing in Manhattan. My statement will be limited to 10 minutes. I will provide 20 copies of my prepared statement.

box Please add my name to the Committee's mailing list.

box Please remove my name from the Committee's mailing list.

box

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






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TITLE:

ORGANIZATION:

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