PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on Medical Marijuana Legislation are requested to complete this reply form as soon as possible, but no later than Monday, December 2nd, and mail, email or fax it to:

Estibaliz Alonso
Senior Legislative Analyst
Assembly Program and Counsel
Room 442 - Capitol
Albany, New York 12248
Email: alonsoe@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
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I plan to attend the following public hearing on Medical Marijuana Legislation to be conducted by the Assembly Committee on Health:

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December 5, 2013, Buffalo, NY


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December 18, 2013, Mineola, NY
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I plan 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.
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I will address my remarks to the following subjects:


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I would like to be added to the Committee's mailing list for notices and reports.
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I would like to be removed from the Committee's mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


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