Fillable Petitions Template Coventry City Council

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Petitions Template Coventry City Council

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PETITION TO COVENTRY CITY COUNCIL PAGE 1 OF ____
Privacy Notice - The Data Controller is Coventry City Council.
This is a summary - the Council’s full Petition Privacy Statement can be read at
http://www.coventry.gov.uk/downloads/download/2019/petitions
The personal details you provide
will be used to process this petition and to fulfil the Council's responsibilities in Section 4.9 of the
Council's Constitution. These may be used by Council officers, members or, where appropriate, third
parties, to fulfil their duties in responding to this petition. These persons may contact you in regard to
the petition.
Petition Organiser contact details (You will be the contact for this petition):
Name....................................................................Telephone no. ...........................................
Email address........................................................
Address.........................................................................................................................................
Postcode…………………… Total number of signatures ...................
Councillor acting as sponsor (if any)......................................................
PETITION ISSUE Briefly describe your issue, problem or request and what you want the
Council to do (please repeat on every page):
Print your full name
Address (house number, street and
postcode)
Signature
click to sign
signature
click to edit
PETITION ISSUE Briefly describe your issue, problem or request and what you want the
Council to do (please repeat on every page):
Print your full name
Address (house number, street and
postcode)
Signature
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Email
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Petitions Template Coventry City Council

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Completed 10 February 2020

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