This is the Elections Canada form which signifies your membership in Canada Vision 21. Please fill out most of the fields on-line, including the party name field at the bottom of the form. However, you will need to fill in the party name in Section B by hand, as well as providing your handwritten signature. To do this, having submitted the form electronically, and upon receipt of the confirmation of the form, please print a copy, sign it, scan it, and return it to us at the following email address: jonescp36@gmail.com. Thank you