Donation Form By-Election 2025

Donation Form By-Election 2025

Thank you for supporting Jeanifer Decena's campaign for City Councillor for Vancouver! Your contribution helps make a difference. Please note: Donations are not tax deductible as per CRA regulations.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Donation:
Any amount up to 50 dollars onlyFormat: (000) 000-0000.
Kindly send it by two ways
E-transfer: electdecena@gmail.com
Cheque: Jeanifer Decena
#308-1450 West Georgia St Vancouver BC, V6G- 2T8
blanksblank
Signature

Powered by Jotform SignClear
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Volunteer Motivations
Signature

Powered by Jotform SignClear
Should be Empty: