Print a signing page
This page follows the House of Assembly's petition form: the reasons, the prayer, a signature table, and the required public-disclosure statement, all on every page. Fill in your details below (or leave them blank for a canvasser sheet), print, sign in ink, and return it to the organiser.
Petition
These are the reasons for this petition:
Therefore, we petition the Honourable House of Assembly as follows:
| Date | Name (please print) | Address | Signature |
|---|
This petition may be tabled in the House of Assembly. If tabled, the petition will be a document of the House of Assembly and the name and address of every person who signs it will be available to the public.
Organiser: . Return signed pages to the organiser. Page generated by Taking Action NL.