SAMPLE B -
First page of petition
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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)
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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
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citizens (or residents) of Canada
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electors of (name
of electoral district)
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residents of the Province of (name)
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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)
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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.
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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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