Support the Citizens Centre today!

The Citizens Centre is funded entirely by freewill contributions.
Your support is needed and appreciated!

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STEP 2
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CONTACT INFORMATION
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*First Name:

*Last Name:

*Address:

*City/Town:

*Prov:

*Postal Code:

*Phone:

Email:

Company

STEP 3

MEMBERSHIP and DONATION INFORMATION

Please select the appropriate category below and enter the amount you wish to contribute in the space provided.

Contributions of $20 or more will be receipted and the contributor added to our newsletter mailing list.

    Member ($100 - $499)

    Charter Member ($500 - $1,999)

    Membership Renewal

    Online Supporter ($50.00)

    Donation (Any amount)

    *Please enter the amount you wish to contribute in dollars and cents...

 $
(Enter amount in dollars and cents with no $ sign.
Example: 100.00)

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STEP 4


(NOTE: When entering your credit card number on the following secure page,
do not put spaces between your credit card numbers.)

OUR GUARANTEE

The Citizens Centre for Freedom and Democracy does not sell, share, rent or in any other way disclose the personal information or email addresses of it supporters.

 

If you prefer to donate by phone, or have any trouble
contributing on-line, contact us at 1-866-666-6768.

To contribute by cheque, mail donation to
Citizens Centre for Freedom and Democracy
#203, 10441 - 178 Street Edmonton, AB T5S 1R5

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