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Free Petition Submission Form

Welcome to Jpetition’s online petition submission page! Please take a few minutes to read this form, and then bookmark it so you can get back. For further questions, please consult the Frequently Asked Questions (FAQ) page.

All Information is required.

You must include a valid email address so we can validate your petition. After you’ve prepared your petition statement, please fill out this form accurately and in full. After completing the form, click the "Preview This Submission" button at the bottom of this page. After you approve the preview and submit your petition, our staff will be notified about your submission.

 

  1. Petition Title:
  
 
  2.1. Petition Target:
  
 
  2.2. Petition Statement:
This is the actual text you will be asking people to agree with and sign. JPetition recommends that you first compose the petition statement carefully off-line, using a spell-checker to check the spelling and polish the grammar, and then copy and paste the completed text into the field below.
  
  Please note - the words "Sincerely, The Undersigned" will be added
at the end of your petition statement automatically.

 

  3. Petition Author Information
Please provide additional contact information so we may reach you in private if necessary. JPetition.com will not publish this information and will not share it with anyone without your permission.*
*Except if deemed necessary in cases of severe abuse or offense.
 
  3.1. Author Name:
  
 
  3.2. Email:
  
 
  3.3. Street Address:
  
 
  3.4. City:
  
 
  3.5. State (USA only):
  
 
  3.6. Zip:
  
 
  3.7. Country:
  
 
  3.8. Telephone Number:
  
 

 

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