ARQRV | Association of Residents of Queensland Retirement Villages

Before completing this form, you must have an email address and a credit card.

Please select “Renew Ordinary Membership, complete your information, then enter credit card details at the end of this page and proceed to pay online.

If you prefer to pay via another method, please see the Renew Membership page for further information.

Renew Ordinary Membership

$30

Select

MEMBERSHIP DETAILS

Village Name *

Village street address *

Town / City *

State *

Postcode *

Unit/Villa Number *

Additional unit/villa details (if applicable) (optional)

RESIDENT 1: First name *

Last name *

RESIDENT 2: First name (if applicable) (optional)

Last name (if applicable) (optional)

Country *Australia

Phone *

Alternate Phone (optional)

Email address *

Your order

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00

Credit Card Payment

Pay with your credit card via Square.

Card Number *

Expiry (MM/YY) *

CVV (3 digit number printed on back of card) *

Postal Code of card owner (for payment verification purposes) *

Update totals

Please enter your credit card details and click “Submit Application and Payment”. Your payment may take a few seconds to process; please ensure that you only submit the form once.

If your payment is successful, you will receive an email confirming your renewal. If you don’t receive this email or have any questions, please contact us at membership@arqrv.org.au