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		BERGER COMMISSION REPORT  
		Mail to:  Assembly Committee on Health, The Capitol, Rm. 522, Albany, NY, 12248 I plan to [ ] testify at [ ] attend the  | 
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[ ] Albany (Northern Region) hearing Monday, December 11  | 
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| [ ] Buffalo (Western Region) hearing Monday, December 11 | |
| [ ] Syracuse (Central Region) hearing Monday, December 11 | |
| [ ] White Plains (Hudson Valley - Westchester) hearing Monday, December 11 | |
| [ ] Kingston (Hudson Valley - other than Westchester) hearing Monday, December 11 | |
| [ ] Long Island (Long Island Region) hearing Monday, December 11 | |
| [ ] New York City (New York City Region) hearing Monday, December 11 | |
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		I will require assistance and/or handicapped accessibility information. Please specify type of assistance required:  | 
	
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