PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on the Need for a New Environmental Bond Act and the Impacts of the 2013-14 State Budget are requested to complete this reply form as soon as possible and mail, email or fax it to:

Andrew Matott
Committee Assistant
Assembly Committee on Environmental Conservation
Room 520 Capitol
Albany, New York 12248
Email: matotta@assembly.state.ny.us
Phone: (518) 455-4363
Fax: (518) 455-5182
box
I plan to attend the following public hearing on the Need for a New Environmental Bond Act and the Impacts of the 2013-14 State Budget to be conducted by the Assembly Committee on Environmental Conservation and the Subcommittee on Oversight of the Department of Environmental Conservation on Tuesday, October 22, 2013.
box
I plan to make a public statement at the hearing. My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide ten copies of my prepared statement.
box
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 Committees' mailing list for notices and reports.
box
I would like to be removed from the Committees' 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: