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Retired
Peace Officers
|
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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