Cheque - Donor Confirmation Form Name * First Name Last Name Phone * (###) ### #### Email Address * To be eligible to donate, ALL donors must be individuals residing in BC and a Canadian Citizen or Permanent Resident. By completing this form, you are confirming that you are ELIGIBLE TO DONATE. * Campaign contributions to local elections candidates and elector organizations are not eligible for tax receipts in BC. Yes, I am a Permanent Resident/Citizen of Canada Yes, I am a resident of British Columbia Thank you for your support of the work of the BCA!