RPEA Membership Application


First Name ________________ MI ____ Last Name ___________________________

Address________________________________________________________________

Address________________________________________________________________

City_________________________________ State ________ Zip _________-______

Home Phone ___________________ Mobile Phone (optional) __________________

Email __________________________________________________________________

Spouse's name (optional) ________________________________________________

[ ]  Send my RPEA Reporter by e-mail  

Dues:  1 year - $35  :::  2 years - $65  :::  5 years - $145  :::  Lifetime member - $400

Print and mail this completed application, with dues, to

RPEA 
3310 Arctic Blvd., Suite 200, 
Anchorage, AK 99503