Campaign Contribution Eligibility Form
Please confirm your eligibility and provide your contribution details.
Full Name
*
First Name
Last Name
Residential Street Address
*
City or Municipality
*
Postal Code
*
Email Address
*
example@example.com
Intended Contribution Amount
*
Payment Method
*
E-transfer
Cheque
I confirm that I meet all ElectionBC donor eligibility requirements, including being a resident of British Columbia, making this contribution with my own funds, and not being reimbursed by another individual or organization. I understand that false declarations are subject to penalties under the Election Act.
*
I confirm the above statement is true.
Privacy Notice: The information collected on this form is required for compliance with ElectionBC regulations and will be used solely for processing your contribution. Your personal information will be protected in accordance with applicable privacy legislation.
Submit contribution information
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