This electronic signature replaces the elector’s declaration (art. 434)
I hereby consent, for a period of seven years from the date of signing, to allow the relevant financial institution or issuer of my credit card to communicate to the DGEQ and to the official representative of the authorized entity to which my contribution is made, all information needed to verify the compliance of my contribution with the provisions of the Act respecting elections and referendums in municipalities.
I also authorize To collect the amount(s) selected above through Stripe’s secure website.
You must be the card holder and your name must appear on it
The credit card used must be issued in the name of the contributor (elector only) and the contributor must himself or herself be the main cardholder. A credit card issued to a legal person (company, union, trust, etc.) may not be used.
You reach the maximum allowed by law, please choose another amount.