Campaign Donation Form

Donation Form | Leslie Payne for Nelson City Council

To make a donation, send an e-transfer to connect@lesliepayne.ca (autodeposit is enabled)
Please note that donations of $100 or more must be reported to Elections BC with your name and address.
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different than residential)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the amount of your donation?

Other
Please confirm that you are a resident of BC and either a Canadian citizen or Permanent Resident and are eligble to donate.
Please confirm that you understand if your donation is over $100, your name and total contribution will be reported to BC Elections and published on the Financial Disclosure website.
Would you like to have a campaign sign on your property?
If you would like a sign at a different address than the one above, please share it here.
Would you like to volunteer with the campaign?
Should be Empty:

Donation Form | Leslie Payne for Nelson City Council