Association Membership Application

Join Association Member

This Association Membership Application form is suitable for Home Owner Committees and Resident’s Associations. An Association Member will receive information from QMHOA that they can freely distribute internally to all members of their Home Owner Association and homeowners and residents in their manufactured home park.

Association Fee for 12 months is $75.00.

Date

Date of this application

Association Name(Required)

Village/Park Name & Postal Address(Required)

Postcode(Required)

Applicant's Name(Required)

Applicant' Position(Required)

e.g. HOC Secretary, President, Treasurer, other etc.

Site/Villa Number

Email(Required)

Home Phone

Mobile

Committee Members:

President(Required)

Contact Number(Required)

Email(Required)

Secretary(Required)

Contact Number(Required)

Email(Required)

Treasurer(Required)

Contact Number(Required)

Email(Required)

# of Sites in your Park:(Required)

# Members in your Association:(Required)

Association membership fee — $75 per year.

Payment Details

Applicant/Authorised Person's Name(Required)

Person authorised to make this payment on behalf of the association. e.g. If paying by association account then name of the authorised person on the account. If paying by a personal account then name on credit card, personal account or personal cheque.

Signature of Authorised Person(Required)

If you are submitting online, please just type your name.

Method of Payment(Required)

Credit Card

Direct Deposit

Cheque

# Reference: If paying by direct deposit please use your last name as a reference. If paying by cheque please write your Association name or your full name on the back of the cheque

Transaction Receipt Number

Upload Transaction Receipt

Drop files here or

Max. file size: 128 MB.

ASSOCIATION MEMBERSHIP FEE - $75.00per year.
This is the current fee which is valid for new applications made before the QMHOA AGM in August 2023

Direct Deposit Bank Details:
QMHOA General Account
BSB 633000
Account 204057707

Please use your association or park name as a reference and after making your payment send a copy of your receipt to membership@qmhoa.org.au or upload it in the upload section.

When paying by direct deposit please tick 'Direct Deposit' and submit the form. We will then marry up the payment and your online application form. If paying by cheque, please post your cheque to PO Box 932 Booval Fair Qld 4304, please write your association name on the back of the cheque.

QMHOA, Assisting Home Owners for Over 30 Years

Once the form is lodged you will be contacted by the Membership Coordinator by email.

If you have any issues or enquiries, please email us on membership@qmhoa.org.au or phone us on 07 3040 2344.

Please note - QMHOA maintains Public Liability Insurance to $20,000,000

Product Name

Hidden

Coupon

Total

Credit Card

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name