Fillable Printable Blank Petition Template
Fillable Printable Blank Petition Template
Blank Petition Template
PORT MACQUARIE-
HASTINGS COUNCIL
PO Box 84
Port Macquarie
NSW Australia 2444
DX 7415
[email protected].gov.au
www.pmhc.nsw.gov.au
ABN: 11 236 901 601
COUNCIL REFERENCE NO: ___________________________________
Petition Template
PETITION COVER PAGE
First page of petition - attach addition pages as required.
General Manager
Port Macquarie-Hastings Council
PO Box 84
PORT MACQUARIE NSW 2444
We the undersigned, petition Council to (clearly define purpose):
For the following reasons:
As the initiator of this petition, my name is :____________________________________
and I can be contacted at (address) for further information in relation to this matter:
Name
Address
Signature
COUNCIL REFERENCE NO: ___________________________________
Additional Pages
Copy as required with details completed and attached to Petition Cover Page.
Name
Address
Signature
