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

Please ENTER and CHECK your credit card details.
CLICK Submit Application and Payment ONCE ONLY. Payments may take a few moments to process.
You will receive an email from Square card payment system confirming your payment, if your transaction was successful.
Do not submit the payment again.
If you do not receive an email or have any questions, contact us at membership@arqrv.org.au

Credit cards accepted:

Card Number *

Expiry (MM/YY) *

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

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

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