Join the Peralta Retirees Organization Using the Internet

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

  • Click on the "Submit Membership Form" button to send the entered information via email to PRO.
  • You will then be taken automatically to PRO's PayPal web page where you can choose your membership dues option and submit your dues payment securely using your credit card.

Name

Address

City, State, Zip

Email

Phone

Which health plan are you a member of?
CoreSource Traditional
CoreSource Light
Kaiser

Are you enrolled in Medicare?
Yes
No

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:
webmaster@peraltaretirees.org.