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Retired Peace Officers
Association of California

 

Application for Membership

Print and mail this application and a check payable to RPOAC to:
P.O. BOX 1239 COLFAX  CA. 95713
1-800-743-7622

Name:_____________________________________________________________

Address:___________________________________________________________

City:__________________________________   State: _______   Zip:___________

County: _______________________________

Date of Birth: ___________________________

Residence Phone:________________________

Business Phone:_________________________

Fax:__________________________________

E-Mail:________________________________

Retired from:_____________________________________________________________

Circle One:        $48 for 1 year          $90 for 2 years          $125 for 3 years         PERS Deduction

New member dues are prorated by RPOAC Staff

Note:  If you would like to pay your dues by PERS Deduction, please fill out and mail the PERS Deduction form also.

Dues are billed and due at the first of the year.  New member dues are prorated by the quarter. 
A portion is allocated to membership in PORAC and NAPO, which is dedicated within RPOAC by-laws.

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