Membership Application
 
Fill out the form and click "Print" to print the form or save for later.

Mail the printed form to RAPS with your check payable to the PSU Foundation to this address:

Retirement Association of Portland State/RAPS
Portland State University
P.O. Box 751
Portland, OR 97207

Choose one:
One (1) year................................$12
Five (5) years ..............................$55
Ten (10) years ..........................$100
Lifetime.................................... $200

  The first year of RAPS membership, immediately after retirement, is free.
  Lifetime membership is $200 less $10 for each year past age 65.

Name:
Address:
City:
State and Zip Code:
Day Phone:
Evening Phone:
E-Mail Address:
Academic Field:
Retirement Date:


Contact Us: Email: raps@pdx.edu   Phone: 503-725-3447
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