/ NEW BRUNSWICK /

REGISTER TO VOTE FOR THE STRONGEST PRO-PARENTAL RIGHTS & COMMON SENSE CONSERVATIVE CANDIDATE

Thank you for your desire to activate your membership in the PCNB so that you can vote for the strongest pro-parental rights and common sense conservative candidate in your riding's nomination election.

Anyone who is 14 years or older and a permanent resident of New Brunswick, can sign up. Memberships are $10 per person for one year.

IF YOU ARE NOT FROM NEW BRUNSWICK, DO NOT FILL THIS FORM OUT.

Once your membership is activated, you will be informed if and when a nomination election in your area is occurring and who the strongest pro-parental rights candidate is.

YOUR INFO

First Name *

Last Name *

Street Address *

Address Line 2

City *

Province/Territory *

Postal Code *

Phone Number *

Email Address *

Please let us know your status so we can serve you best...

If you are signing up to be a member right now, please let us know how many people you plan on signing up for (YOU WILL NEED TO FILL OUT THE PCNB FORM FOR EACH PERSON SEPARATELY).

Request for a call back to explain the process:

I want to multiply my impact and would be willing to help find 2-3 others in my riding to sign up to vote. *

I would like to be informed of more ways I can volunteer to help a pro-parental rights candidate. *

IMPORTANT: YOU WILL NOW BE FORWARDED TO THE PCNB WEBSITE TO MAKE PAYMENT FOR YOUR MEMBERSHIP SO THAT YOU CAN VOTE.

YOU WILL KNOW THAT YOU HAVE BEEN SUCCESSFUL IF YOU MAKE YOUR $10 PAYMENT AND RECEIVE A CONFIRMATION EMAIL FROM THE PCNB AFTER YOU ARE DONE.

If you need help, simply call 506-522-8880. We are here to serve.

This courtesy communication was sent to you by 4 My Canada, the hosts of the Don't Delete Parents petition. By filling this form out, you are indicating that you give us permission to communicate with you regarding pro-parent, pro-life and pro-freedom candidates running for the nomination in your area.