Membership form

Please help your Association by receiving your Newsletter by Email

Please print and complete the form below, and either give it to your ARQRV Liaison Officer in your village / resort or post it with your cheque to *

*Memberships
ARQRV
PO Box 1361
BUDDINA Qld 4575

Alternatively you may deposit your subscription into the ARQRV bank account then forward the deposit receipt together with your membership form to the above address.
Bank of Queensland BSB 124001 Account Number 20511301
Commonwealth Bank BSB 064162 Account Number 10062890
If banking electronically, please state your surname and village.

Annual Membership $15.00 or Lifetime Membership $100.00 (1 Jan.-31 Dec.)

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Please tick RENEWAL____ NEW MEMBER____ EMAIL NEWSLETTER ____

Name / Names

Villa / Unit No.

Village / Resort Name

Full Address

Postcode

Phone No.

Email Address – PLEASE CHECK FOR ACCURACY

All voluntary donations to the ARQRV are gratefully received. Thank You.

Annual Fee $15.00 or

Lifetime Membership $100.00

Total $ ……….

I / We apply to join the Association of Residents of Queensland Retirement Villages (Inc.)

Signature …………………………………………….. Signature ……………………………………………..

Please tick RENEWAL____ NEW MEMBER____ EMAIL NEWSLETTER ____
Name / Names
Villa / Unit No.	Village / Resort Name
Full Address
			Postcode	Phone No.
Email Address – PLEASE CHECK FOR ACCURACY
All voluntary donations to the ARQRV are gratefully received. Thank You.		Annual Fee $15.00 or Lifetime Membership $100.00			Total $ ……….
I / We apply to join the Association of Residents of Queensland Retirement Villages (Inc.) Signature …………………………………………….. Signature ……………………………………………..