Membership & Donations for the
Retirement Village Residents Association (Inc)
ABN 16 674 035 894

Please print this page (landscape setting on your printer) and complete it. Then return it to your RVRA contact in your village or to the RVRA Treasurer, 32 Glengara Village, 220 Hansens Rd, Tumbi Umbi, 2261. If paying by cheque or money order, please make it payable to RVRA.

Membership $10.00 per person

OR $15.00 Joint Spouse / Partner (Optional) .

Please make Cheque or Money Order
payable to RVRA

Mr Mrs Miss Ms (Circle Appropriate)

Name ___________________________________________

Address_________________________________________

________________________________________________

Village ___________________________________________

Unit No _____________ Phone _______________________