Support Amita Kuttner GPC Leadership Contestant

Email Address *

Contact Info

First Name *

Last Name *

Street Address *

City *

Prov *

Postal *

Phone

Optional

Birth Date

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Enter the name as shown on your credit card, and the billing address for this card.

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

I certify that I am a Canadian citizen or permanent resident of Canada. I am making this contribution with my own personal funds and not with a business account or on behalf of another person. No individual or organization will either partially or fully reimburse me.

IF SELECTING MEMBERSHIP
I would like to join the Green Party of Canada. I promise to abide by the constitution, member Code of Conduct, policies and principles of the GPC. I declare that I am not a member of another federal political party. *

Total amount: $ 0

Cost after tax credit: $ 0

Your Donation	Your Tax Credit	Your Cost After Tax Credit
$50.00	$37.50	$12.50
$100.00	$75.00	$25.00
$150.00	$112.50	$37.50
$200.00	$150.00	$50.00
$300.00	$225.00	$75.00
$400.00	$300.00	$100.00
$500.00	$350.00	$150.00
$750.00	$475.00	$275.00
$1000.00	$558.00	$442.00
$1625.00	$650.00	$975.00

Donors who do not pay income tax are unable to benefit from these credits. We appreciate all donations.

Support Amita Kuttner
GPC Leadership Contestant

Membership (optional)

Contribution Amount

Total amount: $ 0

Total amount: $ 0