PUBLIC HEARING REPLY FORM

Persons who want to be invited to present testimony at the public hearing on Impacts of Radon from Natural Gas on Indoor Air Quality are requested to complete this reply form and mail, email, or fax it by May 2nd to:

Philip T. Johnson
Principal Program Manager
Legislative Commission on Science and Technology
AESOB 23rd floor, Albany, NY 12248
(518) 455-4386 (p)
(518) 455-5573 (f)
johnsop@assembly.state.ny.us
box
I plan to attend the public hearing on Impacts of Radon from Natural Gas on Indoor Air Quality to be conducted by the Assembly Committees on Health, Environmental Conservation, Corporations, Authorities, and Commissions, and Energy and the Legislative Commission on Science and Technology on Friday, May 9, 2014.
box
I would like to be invited 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 15 copies of my prepared statement.
box
I would like to be added to the Assembly mailing list for notices and reports.
box
I would like to be removed from the Assembly 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: