Online Membership Application Dawn15join - Queensland Manufactured Home Owners Association

Ordinary Membership Application

Ordinary Member Application For dawn

This Ordinary Membership Application 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 choose one person to be the nominated member and add the other individual’s names where applicable in the form.

The ordinary membership fee is $20 per year. This is a special fee of $15 for applications held up in post.

Today’s Date

Village or Park Name(Required)

e.g. Regal Waters, Bethania

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

First Last

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

Your Best Phone Number(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 - in the email field below and we will post your receipt to you.

Applicant's Email Address(Required)

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

Name/Household Member #2 (if applicable)

First Last

Email Address/Household Member #2 (if applicable)

PERSONAL MEMBERSHIP FEE - $20.00 per year

Payment Method(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.

PERSONAL MEMBERSHIP FEE

Hidden

Coupon

Total

Credit Card

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Ordinary Membership Application

Ordinary Member Application For dawn

PERSONAL MEMBERSHIP FEE - $20.00 per year

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

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