Join - Retired Public Employees Association

This page is for public service retirees joining RPEA. If you would rather mail in an application, please download the application here.

Name*
First Last
Email*
Phone*
I am retired from*
Billing Address*
Street Address City State ZIP Code
Mailing Address (If Different Than Billing)
Street Address City State ZIP Code
Name of spouse/domestic partner who will receive free membership
First Last
Did someone recommend RPEA to you?*
- Yes
- No
If so, who?
How you heard of us*
If other, please specify:
Membership Dues*
Payment Information*
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Newsletter
- Opt into receiving our newsletter
Text
- Keep me updated! I consent to receive text messages and/or automated voice call event reminders and updates from RPEA NY at the phone number provided. Message frequency varies. Msg & data rates may apply for SMS. Reply STOP to opt out of texts or HELP for support. View our Privacy Policy.