ARQRV VILLAGERS MEMBERSHIP FORM

Association of Residents of Queensland Retirement Villages (Inc.)

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 Association's Liaison Officer in your village/resort or post it with your cheque to:

Alternatively you may deposit the subscription into the ARQRV bank account then forward the deposit receipt together with your renewal form to the address below.

Bank Details: Bank of Queensland BSB 124001 Account Number 20511301
Commonwealth Bank BSB 064162 Account Number 10062890

If banking electronically, please state your surname/village, ie: jones-kawanarv

Memberships
ARQRV
PO Box 1361
BUDDINA Qld 4575

Annual membership is $15.00 or Lifetime Membership for $100

subscription term is 1st january to 31st december each year

cut form along the line: .......................................................................................................................................................................................

Please tick RENEWAL ............ NEW MEMBER ..............

Name/Names:

Villa/Unit No:

Village/Resort Name:

Full Address:
	P/Code:	Phone No:

E-Mail Address:
Please check for Accuracy:

Can you please support your ARQRV further with a voluntary donation. All donations are gratefully received. Thank You.

Annual Subscription: $15.00 or
Lifetime Membership $100.00

Total Amount $.....................................

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

Signature: ........................................................................ Signature: ........................................................................

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