Individual Membership Renewal Application - Queensland Manufactured Home Owners Association

Ordinary Membership Renewal

ORDINARY MEMBER RENEWAL

This Ordinary Membership Renewal form is suitable for individuals, and households where there are multiple occupants. Where you have chosen to join more than one individual in a household as an ordinary member you will have chosen one person to be the nominated member.

Ordinary member renewal fee is $20 per year.

Today's Date(Required)

Membership Number(Required)

Applicant's Name/Household Member #1(Required)

Applicant's Phone(Required)

Your best phone number if we need to call you

I have an email address(Required)

Yes

No - Please use - membership@QMHOA.org.au - we will post your receipt to you.

My Email(Required)

Post my receipt(Required)

Note: If you don't have an email address, please use - membership@QMHOA.org.au

I need to update my details

Yes, I would like to update my details

No, my details are same as last year

If you think any of your information has changed since you joined or you last renewed, please use the below fields to update your membership details. Only add information that may have changed, all fields are optional. This allows QMHOA to keep you informed and up-to-date.

Update details, Individual

Village or Park Name

e.g. Regal Waters, Bethania

Your Site Number

e.g. 145

Your Internal Street Name (if you have one)

e.g. Trafalgar Ave

Your Postal Address

e.g. 145/16 Holzheimer Road, Bethania Qld 4205

Your Suburb

e.g. Bethania

State

e.g. QLD

Postcode

e.g. 4205

Payment

Personal Membership Fee

Payment Method(Required)

Credit Card

Direct Deposit

Cheque

# Refer to detailed instructions below for your preferred payment method.

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

When paying by credit card please tick the 'Credit Card', box and complete your credit card details at the bottom of this form and then submit your form. Your payment will be acknowledged by Eway, our card facility system.

When paying by direct deposit, please tick 'Direct Deposit' box and use your name as a reference on your payment. After making your payment send a copy of your deposit receipt to membership@qmhoa.org.au or upload it in the upload section at the bottom of this page. Then submit this form. We will then marry up your payment and your submitted application form.

When paying by cheque, please tick the 'Cheque' box, write your name on the back of the cheque, and post your cheque to:
PO Box 932 Booval Fair Qld 4304.
Your cheque will be matched to your completed form and we will send you a receipt.

Once the form is lodged you may be contacted by the Membership Coordinator by email if we need further information.

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

QMHOA, Assisting Home Owners for Over 30 Years
Please note - QMHOA maintains Public Liability Insurance to $20,000,000

Transaction Receipt Number

Upload Transaction Receipt

Drop files here or

Max. file size: 128 MB.

Hidden

Coupon (if applicable)

Total

Credit Card

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date Month Year
Security Code Cardholder Name

Ordinary Membership Renewal

ORDINARY MEMBER RENEWAL

Update details, Individual

Payment

Join our satisfied, happy members by completing your application form today!

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