Join the Initiative

Directions: Please complete the form below. A copy will be emailed to you to print and send with a check for your selected class type. Checks should be made payable to PEPA at Box 21, Purchase, NY 10577. Your information is kept confidential and will not be shared with any to third parties.

For more information about our membership program, click here.

1. Confirm Opt In

2. Personal Info

(Optional)
(Optional)

3. Class Type

 

Voting Member ($100) — send a check with a printed copy of this application.
 

Concerned Citizen ($0) — no further action is required.

4. Issues of Concern

Please select all the issues of concern that apply to you.