- Membership Application –

Arrowhead Public Employees Retirement Group (APERG)

Your Name:________________________________________Phone:________________
Email:_____________________________________________
Spouse's Name: ________________________________________________

Address: _______________________________________________________________

City/State/Zip: ___________________________________________________________

Please return form and dues to:

A. P. E. R. G.

Arrowhead Public Employee Retirees Group

c/o Bud Krause

P.O. Box 7152

Duluth, MN 55807–7152

Annual dues are $15.00 per person. Any gifts you send in addition to your dues will be received with gratitude. Make check payable to: APERG