PC Party of Manitoba Individual Membership Form

Payment Information

Card Type:

Name on Card:

Credit Card Number:

Expiration Date:

/

*must be a personal credit card


Transaction Description

Description:

PC Party of Manitoba Individual Membership

Amount:

 

All memberships purchased after October 27, 2012 or
active as of that date will be valid until December 31, 2016


Address Information

Your Email Address:

Name:

Phone Number:

Address Line 1:

Address Line 2:

City:

Province:

Postal Code:

Country:

Only click ONCE to avoid duplicate charges.

Starting in 2013 The PC Party of Manitoba will be issuing tax receipts on an annual basis.
Annual tax receipts for 2013 will be received no later than mid-February 2014.

The name "Progressive Conservative Party Of Manitoba" will appear on your credit card statement.



If you experience any problems, please contact us at:
PC Manitoba
23 Kennedy Street, Winnipeg, MB R3C 1S5
Telephone: (204) 942-8283, Toll Free: 1-800-663-8679, Fax: (204) 943-1706
Monday to Friday 8:30 a.m. to 5 p.m.


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