Legal Agreement

I, the undersigned declare that my contribution complies with the provisions of articles 47, 429, 430, 434 et 436 of the AERM and that my contribution

To be able to make a contribution to an authorized political entity, you must qualify as an elector(section 47) within the meaning of the Act respecting elections and referendums in municipalities. You must make your payment yourself in accordance with the legal requirements (subsections 429, 429.1, 430, 434 and 436 as well as subsections 499.7 and 499.8 of the AERM with respect to a party leadership campaign)

This electronic declaration replaces the elector's declaration (s. 434)

Bank Consent

I consent, for a 7-year period from the date of my signature, to the financial institution concerned or my credit card issuer communicating, to Élections Québec and to the official representative of the authorized entity or to the financial representative of the candidate in a party leadership, the authorized entity to which my contribution is intended, all information relating to this card, so that the Chief Electoral Officer may verify the authenticity of the information provided and compliance with the rules on political financing

I also authorize to collect the amount(s) selected above through Stripe’s secure website.