Membership Signup Form

1 Who

2 Type

3 Details

4 Pay

5 Done

Who is this payment for?

Select the person who will be covered by this membership.

Member

For retired NC government employees

Retiree or eligible pre-retiree Check Eligibility

Spouse

For the spouse of a member or eligible member

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Choose a payment type

Annual membership is $40 per year

Pension Deduction

$3.34/month

Deducted from your pension

For NC Retirement System retirees

Recurring

$40/year

Automatically renews every 12 months

One-Time

$40

Single Annual Payment

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Enter your personal information

I am a new member enrolling for the first time.
I am an existing member renewing my membership.

RGEA Member ID

Full Name of Retiree

First Name

Middle Initial

Last Name

Address

City

State

Zip

Cell Phone

Home Phone

Personal Email

Date of Birth

County Name

State or Local Agency

Retirement Date

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Enter your payment information

Social Security Number

I hereby authorize the North Carolina Retirement System to deduct my RGEA membership dues from my retirement check.

My billing address is the same as my member address.

Address

City

State

Zip

Name on Card

I confirm the credit card account that I provide will be charged annually for my membership. I understand that I may opt out of automatic renewal at any time by contacting memberrecords@rgea.info.

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Payment Complete

Thank you for your membership payment. You will receive a confirmation email shortly.

Who is this payment for?

Member

Spouse

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Pension Deduction

Recurring

One-Time

Enter your personal information

Enter your payment information

Payment Complete

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