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Petition - One question at a time

A community petition to a city council: supporter details, a signed statement and an optional personal comment. One question at a time with photos beside some questions and a trail of what you have answered.

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

Use this template

Questions in this template

  1. What is your name?
  2. Email address
  3. What is your 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

Group of cyclists riding together on a road

Hi, thanks for stopping by.

It takes under a minute to add your name to the petition.
About 2 minutes
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