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Applicant details

This is the person we will contact if we have any queries about this submission.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com

Petition Detials
Are you speaking on behalf of yourself or representing a Group/Organisation?*
What is the name of the Group/Organisation you are representing?
What is your role?
What Committee/Community Board meeting do you wish to present your petition to?*

Full CouncilStrategy and PolicyOperationsEnvironment and RegulatoryMotueka Community BoardGolden Bay Community Board
Which meeting date would you like to speak at?*

DayMonthYear
Date
What is the topic of your petition?*
Will you be attending via Zoom video conference or in person?*
You can upload your petition here, or hand deliver your petition to 189 Queen Street Richmond, 7020, or post to Private Bag 4, Richmond, 7050 for the attention of the Chief Executive.

Cancelof
Petitions must contain at least 20 signatures and consist of fewer than 150 words (not including signatories). Petitions must be received by the Chief Executive at least 5 working days before the date of the meeting at which they will be presented.
Should be Empty:

Public Petition Form