Free Petition template 27
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PETITION
To the Council of the City of _________________________________
We, the undersigned residents of the ( insert street, suburb area) petition the Council and ask that (insert the
details around petition or request)
The contact person for this petition is

__________________________

__________________________________

Name

Address

________________
Phone

We note that any petition received maybe publicly available by the Council, unless we specifically advise
otherwise.
NAME
1
2
3
4
5
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7
8
9
10

ADDRESS

PHONE
NUMBER

RESIDENT/RATE
PAYER

SIGNATURE