Associate Membership Application

RPEC offers free membership to active employees who are members of PERS, PSERS, SERS or TRS and plan to retire within 18 months. Associate members receive the RPEC newsletter, chapter newsletters and meeting notices, and may attend chapter meetings and the annual convention as a guest.

If you would like to join today, simply fill out our online Associate Membership Application below.

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Name *

First

Last

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Address *

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City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mailing Address (If different)

Address Line 1

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

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Home Phone

Cell Phone

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Retirement Plan *P1 (PERS 1)P2 (PERS 2)P3 (PERS 3)E2 (SERS 2)E3 (SERS 3)N2 (PSERS 2)T1 (TRS 1)T2 (TRS 2)T3 (TRS 3)

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Retirement Date *

Birth Date

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