Contribute ETransfer | Saldana for Ward 4

Contribution Form

Interac E-Transfer · Maximum $1,200

Important: Submitting this form does not complete your contribution. You must send the Interac E-Transfer separately after submission. Instructions will be provided on the next page.

Personal Information

First Name *

Last Name *

Full Legal Name * (as it appears on government-issued ID)

Auto-populated from above. Edit if your legal name differs.

Email Address *

Phone (optional)

Your personal information is collected solely for the purpose of campaign finance compliance and will not be shared or used for commercial purposes.

Residential Address

Street Address *

City *

Province *

Postal Code *

Contribution Details

Amount * (max $1,200)

Contribution Date *

Payment Method

Eligibility Confirmation

All boxes must be checked to proceed. These declarations are required under the Municipal Elections Act, 1996.

I am a resident of Ontario.This contribution is made from my own funds and not on behalf of any other person or entity.I am an individual, not a corporation, trade union, or unincorporated association.I understand the maximum contribution limit is $1,200 per contributor and that this contribution, combined with any previous contributions, does not exceed this limit.I understand that contributions to municipal election campaigns are not tax-deductible.I confirm that all information provided is true and accurate to the best of my knowledge.

Tax Notice: Contributions to municipal election campaigns in Ontario are not tax-deductible. Any receipt issued is for compliance purposes only.

Duplicate Name Warning: If your name matches an existing contributor record, your submission may be flagged for review to ensure the $1,200 aggregate limit is not exceeded.

Submission does not complete payment. E-Transfer instructions will follow.