I need 6 things from you ...
1. family name   
2. initials   
3. date of birth (year-month-day: 00-00-00)

4. $2
or $10 or $20   
5. to say
I refuse to be a crook!  
6. your e-mail address to notify you of the election of the É(eh)PC candidate for your riding

1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................
1. .............................
2. .............................
3. .............................
4. .............................
6. .............................