Join the Initiative

Directions: Please complete the form below. A copy will be then be emailed to you to print and mail to PEPA at Box 21, Purchase, NY 10577. Your information is kept confidential and will not be shared with any  third parties.Once your mailed form is received you will be added to the PEPA email list serv.

There is no fee to join. For more information about our membership program, click here.

1. Confirm Opt In

2. Personal Info


3. Class Type


Voting Member ($100): Pay online or mail your payment with a 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.