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Petition - Dark steps

A community petition to a city council: supporter details, a signed statement and an optional personal comment. A dark, high-contrast version in short steps, with solid answer tiles and numbered questions.

About 2 min to complete. petition, civic, campaign, dark.

Use this template

Questions in this template

  1. Your name
  2. Email address
  3. ZIP code
  4. How are you connected to Riverside?
  5. I, ___, support the call for a protected bike lane on ___ Street and ask the council to fund it in this year's budget.
  6. Why does this matter to you?
  7. May we publish your name on the supporter list?

Related templates

Audience watching a keynote

Sign. Share. Make it happen.

We need 2,500 signatures to put this on the agenda. We are at 1,870.
2 short steps
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