PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the joint public hearing on "Human Trafficking in New York" are requested to complete this reply form as soon as possible and mail, email or fax it to:

Shannel Arrington, Legislative Analyst
Assembly Committee on Codes
Room 508 - The Capitol
Albany, New York 12248
Email: arrings@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-4682


box I plan to attend the joint public hearing on "Human Trafficking in New York" to be conducted by the Assembly Committees on Codes, Children and Families and Labor in New York City on Tuesday, October 25, 2005.

box I would like to make a public statement at the joint hearing in NYC. My statement will be limited to ten (10) minutes, and I will answer any questions which may arise. I will provide twenty (20) 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 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.

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



IF YOU PLAN TO ATTEND, YOU MUST BRING A FORM OF PHOTO IDENTIFICATION


NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE:
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