First Name
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Last Name
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Phone
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Email
*
City
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Province
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Postal Code
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Residential Street Address
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Intended 2026 Contribution Amount
*
$
Required Donor Declaration
*
I confirm that I am a resident of British Columbia and a Canadian citizen or permanent resident; I am contributing as an individual using my own funds and will not be reimbursed; and my total 2026 contributions to this campaign, including this amount, will not exceed $1,429.70
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