PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Addressing the Financial Problems of Upstate Cities in Binghamton on December 4th, 2006 are requested to complete this reply form as soon as possible and mail it to:

Deborah Stevens
Legislative Associate
Assembly Committee on Cities
Room 520- Capitol
Albany, New York 12248
(518) 455-4363
(518) 455-5182 Fax


I plan to attend the following public hearing on the financial problems of upstate cities in New York State on the following date(s):

box
Monday, December 4th in Binghamton

I plan to make a public statement at the hearing on the financial problems of upstate cities in New York State on the following date(s):

box
Monday, December 4th in Binghamton

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 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:
Back