Membership Form - PHC Canada

Membership

To become a member of the Christian Heritage Party of Canada, and in accordance with the Canada Elections Act 404.1, you must:

Be a Canadian citizen or permanent resident of Canada
Agree with the membership statement of the Christian Heritage Party of Canada
Be at least 14 years of age
Accept Membership Statement

* Please note that membership fees, except Life Memberships, are non-receiptable.

* Membership cards will be issued by mail.

Membership Information
Membership Type
*** To qualify for family membership fee, all applicants must have the same mailing address. Children must be at least 14 years of age. Name(s) of spouse and/or children required for membership card.

Your family membership in the Christian Heritage Party of Canada expires in three years and is not tax receiptable.
Your individual membership in the Christian Heritage Party of Canada expires in three years and is not tax receiptable.
Your student membership in the Christian Heritage Party of Canada expires in one year and is not tax receiptable.

You must be attending school/college/university full-time.
Donations
Donation Amount:
Contact Information
Title
Name*
First Last
Spouse Name*
First Last
Child Number One
Child Number Two
Child Number Three
Child Number Four
Child Number Five
Child Number Six
Address*
Mailing Address Address Line 2 City Province Postal Code
Email*
Phone*
Credit Card Information
Total to be charged:
$ 0.00 CAD
Credit Card*

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
I agree with the following:*
- I Accept
• There is one Creator God - the God of the Bible.
• The Canadian Charter of Rights and Freedoms acknowledges the supremacy of God and the rule of law.
• All innocent human life must be protected by law from conception to natural death.
• Marriage is the exclusive union of one man and one woman.
• Parents are the primary authority for the care and education of their children.
• Canadian laws must reflect biblical moral standards.
• I agree with the Constitution of the Christian Heritage Party of Canada. (www.chp.ca/constitution).
Phone
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Membership

Membership Information

Donations

Contact Information

Credit Card Information