PUBLIC HEARING REPLY FORM


Persons wishing to present testimony at the public hearing on VA's National CARES Plan are requested to complete this reply form as soon as possible and mail it to:

Joanne B. Martin
Principal Analyst
Assembly Committee on Veterans' Affairs
Room 513 - Capitol
Albany, New York 12248
E-Mail: Martinj@assembly.state.ny.us
(518) 455-4355
Fax: (518) 455-4128


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I plan to attend the following public hearing on VA's National Care Plan to be conducted by the Assembly Committee on Veterans' Affairs on November 6, 2003.


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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:





box I do not plan to attend any of the above hearing.

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

box I would like to be removed from the Committee 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 ADDRESS:

TELEPHONE:

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