PUBLIC HEARING REPLY FORM

Persons wishing to attend the public hearing on the Great Lakes Compact are requested to complete and return this reply form by September 24, 2004 to:

Alex Roth, Legislative Analyst
Assembly Committee on Environmental Conservation
Room 520 - Capitol, Albany, New York 12248
Email: rotha@assembly.state.ny.us
Phone: (518) 455-4363, Fax: (518) 455-5182


box I plan to attend the public hearing on the Great Lakes Compact to be conducted by the Assembly Committee on Environmental Conservation and the Majority Leader of the New York State Assembly on October 5, 2004.

box

I have been 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 10 copies of my prepared statement. I will address my remarks to the following subjects:




box I do not plan to attend 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:

TELEPHONE:

FAX TELEPHONE:

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