PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on the Impact of the 2008-09 State Budget on Transportation Infrastructure are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Najay Roache
Committee Assistant
Assembly Committee on Transportation
AESOB Suite 1147, 80 So. Swan Street
Albany, New York 12248
E-mail: Roachen@assembly.state.ny.us
Phone: (518) 455-4881
Fax: (518) 455-4128


box I plan to attend the following public hearing on the Impact of the 2008-09 State Budget on Transportation Infrastructure to be conducted by the Assembly Committee on Transportation on Wednesday, December 17, 2008.

box I have been invited to make a public statement at the hearing. My statement will be limited to 10 minutes, and I will answer any questions which may arise. 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:

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