SAMPLE B — First page of petition
PETITION TO THE |
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Here identify either
(House of Commons, House of Commons in Parliament assembled, Government of Canada, Minister of the Crown, Member of Parliament) |
WHEREAS: |
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Optional statement of facts |
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We, the undersigned, |
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Here identify, in general terms, who the petitioners are, for example
- citizens (or residents) of Canada
- electors of (name of electoral district)
- residents of the Province of (name)
- residents of the City (or Village or Township, etc.) of (name)
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request (or call upon) the |
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Here identify either
(House of Commons, House of Commons in Parliament assembled, Government of Canada, Minister of the Crown, Member of Parliament) |
To |
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Here set out the request by stating succinctly what action the petitioners wish the addressee to take or what action it should refrain from taking. |
Signatures
(Sign your own name.
Do not print.) |
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Addresses
(Give your full home address, or your city and province, or province and postal code.)
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