Online Membership Application

QMHOA, Queensland Manufactured Home Owners Association Inc. (Incorporating ARPQ and MHOA since 20 January 2023)

Date

Name(Required)

First Last

Village or Park Name(Required)

e.g. Regal Waters, Bethania

Your Site Number(Required)

e.g. 145

Your Internal Street Name (if you have one)

e.g. Trafalgar Ave

Your Postal Address(Required)

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

Your Suburb(Required)

e.g. Bethania

State(Required)

e.g. QLD

Postcode(Required)

e.g. 4205

Phone(Required)

Your best phone number if we need to call you

I have an email address(Required)

Yes

No - Please use - membership@arpq.org.au - in the email field below and we will post your receipt to you.

Email(Required)

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

PERSONAL MEMBERSHIP FEE - $15.00 per year.
This is last years ARPQ 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.
Use your last name as a reference and after making your payment send a copy of your receipt to membership@arpq.org.au
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 write your Association name or your full name on the back of the cheque.

Payment Method(Required)

Direct Deposit

Cheque

Money Order

Credit Card

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

PERSONAL MEMBERSHIP FEE - $15 for New Applications made before the AGM in August 2023

Hidden

Coupon

Total

Credit Card

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name