Fillable Printable Letter of Interest to Develop a Proposal in Response to RFP

Letter of Interest to Develop a Proposal in Response to RFP

Re: FAU# 0909230139

This is to notify the New York State Department of Health of this Bidder's intention to

develop a Proposal in response to this RFP. It is understood that this Letter of Interest is

optional and not binding on either party but simply alerts the Department of Health of

the Bidder's intentions and assures the Bidder will receive all further correspondence on

this RFP.

This Notice should be returned via mail or fax to:

Mrs. Cindi Dubner

NYS Department of Health

Corning Tower Room 2580

Empire State Plaza, NY 12237

(518) 474-3343

Fax: (518) 473-4090

1. Name of Potential Proposing Organization:

_______________________________________________________

2. Organization Address:

Street: ______________________________________________

City: ____________________ State: ________ Zip: ________

Telephone: (____) _______________ FAX: (____) ________________

E-mail: __________________________________________________

__________________________________________________________________

Authorized Signature Date