PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Stormwater Runoff are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Kali Michael
Committee Assistant
Assembly Committee on Environmental Conservation
Room 520 - Capitol
Albany, New York 12248
E-mail: michaelk@assembly.state.ny.us
Phone: (518) 455-4363
Fax: (518) 455-5182


box I plan to attend the following public hearing on Stormwater Runoff to be conducted by the Assembly Committee on Environmental Conservation on August 13, 2008.

box I have been invited to make a public statement at the hearing. I will provide 10 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 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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