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Create Petition

Details of Principal Petitioner

First Name


Last Name


Organisation Name


Address


Town


Postcode


Email Address (All signatures require email verification)


Telephone Number

I am submitting this petition as a:

 Individual/Organisation
 Business
 Both

Details of Petition

Title


Action

Actions Taken (if any) to Resolve Issues of Concern

Actions Taken

Appearance before Committee

Petitioners may be invited to appear before the relevant Committee to speak in support of their petition if it is considered that this would be useful in assisting the Committee to reach a decision. Please indicate below whether you wish to submit a request to make a brief statement to the Committee that may consider your petition.

 I DO wish the opportunity to make a brief statement before the Committee
 I DO NOT wish to make a brief statement before the Committee

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