CONSERVATIVE PARTY MEMBERSHIP

$15 / 1 Year - $25 / 2 Years - $35 / 3 Years - $45 / 4 Years - $50 / 5 Years

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1) I am a Canadian Citizen or Permanent Resident of Canada and I am making this contribution with my personal credit card and not a corporate credit card.

2) This contribution is not from a corporation.

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