ROUNDTABLE REPLY FORM

Persons invited to participate at the public roundtable to examine sex offender residency restrictions are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Tana Agostini
Analyst
Assembly Committee on Correction
Room 513 - Capitol
Albany, New York 12248
Email: Agostinit@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-7083
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I plan to attend the following roundtable on examining sex offender residency restrictions to be conducted by the Assembly Committee on Correction Law on May 20, 2015.
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I have received a letter of invitation and I plan to participate in the roundtable. I will address my remarks to the following subjects:


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I do not plan to attend the above roundtable.
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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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