Tax credit
Please note that individuals can donate a maximum of $5400 to all leadership campaigns combined.  In addition, an individual can donate an additional $5400 to the Liberal Party of Canada or a riding association.

Individuals will receive a tax credit for their donations as follows:

Personal information
First Name *
Last Name *
Address *
City *
Province *	Please select your province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal code (A0A 0A0)*
Phone (555-555-5555)*
Email *
Credit card information
This data is encrypted to ensure no one has access to this information but the financial institution
Name on the credit card*
Credit card number (no space)*
Expiration (mm) *
Expiration (yyyy) *
Credit card type *	Visa Master Card American Expres
Amount *
Please read carefully I acknowledge that my contribution to the Liberal Party of Canada will be directed to the Bob Rae campaign. I am a Canadian citizen or permanent resident of Canada. I am making this donation with my own personal credit card and not with a corporate or business credit card. I am at least 18 years of age.*
If you would prefer to send a cheque or credit card payment by mail Please make your cheque payable to Liberal Party of Canada (Bob Rae Campaign). Print and complete the donation form and send it to: Bob Rae Campaign Office 468 Queen Street East, Suite 105 Toronto, Ontario M5A 1T7 Or by Fax Please print and complete the donation form with your personal credit card information and fax it to: Liberal Party of Canada Attention: Donations - Bob Rae Campaign Fax: 1-613-235-7208 Please contact the office at 416-364-8085 if you have any questions.