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To join RPEA, complete the online membership form and submit payment securely online.

Name*
First Last
Email*
Phone*
Address*
Street Address City State ZIP Code
Name of spouse/domestic partner who will receive free membership
First Last
I am retired from*
Did someone recommend RPEA to you?*
- Yes
- No
If so, who?
How you heard of us*
- Mailer
- Friend/Referral
- Facebook
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- Public Transit-Bus Ads
- The Great New York State Fair
- Newspaper or Magazine
- Theater Playbills
- Other
Other
Membership Dues*
Payment Information*
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Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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Sign up today to enjoy the benefits of RPEA!

Join numerous other public retirees who take advantage of our benefits every day.

RPEA, Inc.
165 Jordan Rd., Troy, NY 12180
(518) 869-2542
(800) 726-7732
mail@rpea.org

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