Petition Template 2Petition Template 2
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Petition to [Action Petitioned For]
Petition summary and
background:
Action petitioned for:

Printed name

[Enter the background of and reasons for this petition]
We, the undersigned, are concerned citizens who urge our leaders to act now to [Enter action item(s) for which you are
petitioning]
Signature

Address

Comment

Date

Printed name

Signature

Address

Comment

Date