Thank you for Donating to Alex Moore's Campaign!

Please complete the form below before sending your contribution by Interac e-Transfer. If you have any questions or prefer to donate by an alternative method, please contact me at AlexMooreWard10@gmail.com or 226.926.7553.

NOTE: I'm only collecting your personal information to comply with Ontario's Municipal Elections Act and to process your contribution. Your information will never be sold, and I'll only share it with the City of London as required by law.

First name

Last name

Phone

Mailing Address

Donation Amount

I confirm that I am eligible to make this contribution under Ontario's Municipal Elections Act, 1996. Specifically, I confirm that:

I am an individual who is normally resident in Ontario;
I am making this contribution from my own funds;
I am not making this contribution on behalf of a business, corporation, trade union, organization, or another person; and
The information I have provided is true and complete.

I understand that this donation is not complete until I send an e-transfer. (Instructions will be provided after I submit this form)