Signature Collection Form

Signature Collection Form

Nominate Peter Milobar as leader of the Conservative Party of British Columbia. Please complete all required fields to submit your nomination.
I the undersigned member in good standing of the Conservative Party of BC, hereby nominate PETER MILOBAR to be a candidate for the leadership of the Conservative Party of British Columbia.
Full Name as it appears on your government ID*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2
CityProvincePostal Code
Signature (please sign below)*
Should be Empty: