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