PETITIONNATION.NET

Free Petition Submission Form

The right of the people to be heard is the key to democracy! To submit an online petition for free hosting here at PetitionNation.net, fill out this form.
Once your petition is ready to go, submit it for approval and activation by our staff. Submitted petitions cannot be changed or edited except in certain circumstances (see our FAQ for guidelines).
Let's get started!

I. Petition Statement

Enter your statement here. This is what everyone will see when they sign your petition.

Petition Statement:

The words "Sincerely, The Undersigned" will automatically
be added at the end of your petition statement.

II. Petition Signatures Information

"Name" and "E-mail Address" are required fields for every petition and will be included . If you choose for signature names to be displayed, then names will be shown, but each signer will still have the option of keeping his or her e-mail address private.

Choose whether to display the names of those who sign your petition. In general this gives more strength to the statement the petition makes. If you choose "No" then only the total number of signatures will be displayed.

Display Signature Names:

Define up to four additional fields of information you want to collect with each signature. Keep in mind that the more information you require, the fewer people are likely to sign the petition. If you are displaying names, the below information will be shown along with the name, so if you are requesting people to list their address, you should not make it a required field.

Field Name Field Type Field Status

Example: Comments

Example: Address; Zip Code

Example: Numbers of Items; Users

Example: Political Party

III. Petition Background Information

Petition Title:

Petition ID:

Make up an ID for your petition.

Petition Target: Who is this intended for?

Petition Community: (OK to leave blank) Who is producing this petition?

Community URL: (OK to leave blank) IF the petition community has a web site, put a link to it here.

Petition Author:

You must give the actual full personal name of the individual responsible for this petition. Anonymous petitions are not allowed.

Author Email:

An accurate email address for contacting the author of record is required. A verification email will be sent to this address before your petition is activated, so it must be a real address.

Eligible Signatories (optional descriptive phrase):

Category:

Geography of Petition Applicability:

State of Petition Applicability (USA only):

Password: This is a password of your choice you will use to perform basic administrative tasks on your petition. Enter the same password in both fields.

Verify Password:

IV. Petition Author Contact Information

Please provide additional contact information so we may reach you privately if the need arises. PetitionOnline will not publish this information and will not share it with anyone without your permission.*
*Except as deemed necessary in cases of serious abuse or malfeasance.

Street Address:

City:

State:

Zip:

Country:

Telephone Number:

Share contact info with press: Yes: No:

Occasionally we are contacted by members of the press looking to talk with petition authors. If you select Yes we will give your contact information to members of the press who ask for it.

Field Name	Field Type	Field Status
			Example: Comments
			Example: Address; Zip Code
			Example: Numbers of Items; Users
			Example: Political Party

Petition Title:
Petition ID:
	Make up an ID for your petition.
Petition Target:		Who is this intended for?
Petition Community: (OK to leave blank)		Who is producing this petition?
Community URL: (OK to leave blank)		IF the petition community has a web site, put a link to it here.
Petition Author:
	You must give the actual full personal name of the individual responsible for this petition. Anonymous petitions are not allowed.
Author Email:
	An accurate email address for contacting the author of record is required. A verification email will be sent to this address before your petition is activated, so it must be a real address.
Eligible Signatories (optional descriptive phrase):
Category:
Geography of Petition Applicability:
State of Petition Applicability (USA only):
Password:		This is a password of your choice you will use to perform basic administrative tasks on your petition. Enter the same password in both fields.
Verify Password:

Please provide additional contact information so we may reach you privately if the need arises. PetitionOnline will not publish this information and will not share it with anyone without your permission.* *Except as deemed necessary in cases of serious abuse or malfeasance.
Street Address:
City:
State:
Zip:
Country:
Telephone Number:
Share contact info with press:	Yes: No:
	Occasionally we are contacted by members of the press looking to talk with petition authors. If you select Yes we will give your contact information to members of the press who ask for it.