Event Ticket - Liberal Party

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Event Title

Purchase Event Ticket(s)

Ticket Price*

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Check if Other Amount not empty

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Tax Credit Other

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Activist Code ID

Where would you like your donation to go*

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Riding API ID

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Committee ID

Name*

Contact *

Email*

Phone*

Address*

Street Address Address Line 2 City Province Postal Code

Guests

Please list the names and emails of all those attending.

Dietary Considerations

Please advise of any restrictions.

Notes

Please provide any additional information we should be aware of.

Please Confirm*

I am making this donation with personal NOT business/corporate funds. No entity will reimburse me.

Specify the amount of Guests attending:*

Please enter a number greater than or equal to 1.

Total

Credit Card