Contribution Amount
Other Amount $
Total Amount
 
Name and Contact Information
* I declare that I am using my personal credit card / bank account to donate on my own behalf, and I am a BC resident and Canadian citizen or permanent resident. (To be an eligible donor to the BC NDP, you must use your personal credit card / bank account to donate on your own behalf, and you must be a BC resident and Canadian citizen or permanent resident).
Credit Card
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*
*
 
Name and Residential Address
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