Join the Peralta Retirees Organization

Please enter the information in the form below. After you complete the form:

  • Print the page
  • Decide if you wish to join for:

    • 1 Year - $20
    • 3 Years - $55
    • 5 Years - $80
    • Lifetime - $250

  • Mail the printed page and a check made out to "PRO" for your dues to:

    4200 Park Boulevard #605
    Oakland, CA 94602

  • Note: you can pay your dues by credit card through our secure PayPal site. Be sure to mail the completed and printed form to PRO even if you pay by credit card.



City, State, Zip



Which health plan are you a member of?
Anthem Medicare Advantage
Traditional Medicare with United America Supplement

Are you enrolled in Medicare?

Indicate any contact information that you would like included in the PRO Member Directory:
Your address Yes No
Your phone number Yes No
Your email address Yes No

Unless you authorize PRO to list contact information in the Member Directory, no contact information for you will be available on the PRO website. The Member Directory is password protected. To obtain the password, email a request to:


Return to PRO Home Page