MEMBERSHIP

ELIGIBILITY

Any Motorola Retiree residing in the USA who possesses a bonafide Motorola retiree I.D. card or badge, or a Motorola/Freescale retiree health benefits ID/eligibility card, shall be eligible for active regular membership in the RBPA upon formal application, and payment of membership dues and assessments.

In addition, AFFILIATE MEMBERSHIP may be available to a Motorola retiree's dependent, who is not also a Motorola retiree, if the Motorola retiree is deceased. To be eligible for membership, the surviving dependent would have to retain the right to Motorola retiree benefits. Such an affiliate member will have all rights of a regular member except the right to hold office in the Association.

MEMBERSHIP FEES

The initial fee for membership in the RBPA is $125.00, of which $25.00 is a one-time payment of membership dues, and the remainder is a required contribution toward legal services and other operational expenses of the Association. Contributions in excess of $125.00 are greatly appreciated!

If each of two married or domestic partners is a Motorola retiree, and each desires an individual RBPA membership, then each party should prepare and submit a separate membership application.

Please note that all funds raised by the RBPA will be applied toward legal fees and other operating expenses (such as telephone and mailing). Association officers and other volunteers are not compensated for their time.

RBPA MEMBERSHIP APPLICATION

Instructions:

1. Please enter all required information carefully and completely into the electronic form below.
2. After entering complete information into the electronic form, Submit Application.
3. Print 2 copies of the application by clicking Print Application, to provide you a copy for your records, as well as a hard copy to mail in with the accompanying "eligibility document" and membership fee.
4. Attach a photocopy of your "eligibility document" to show proof of eligibility for membership. This document may be a Motorola/Freescale retiree health benefits ID/eligibility Card (preferable), or your Motorola retiree badge. A dependent of a deceased Motorola retiree should provide a copy of the dependent's current health benefits ID card.
5. If possible, attach a separate sheet listing names and contact information (mail address/phone/email) for Motorola retirees that you recommend we contact about RBPA membership. This optional contact information will be used ONLY for RBPA membership solicitation purposes, and will be held completely confidential otherwise.
6. Include a check or money order for the initial membership fee of $125.00 (or more, if possible), made payable to Retiree Benefits Protection Association.
7. Mail both sheets (printed application form, plus copy of your eligibility document), along with your check or money order for $125.00, to:

RBPA
PO Box 13844
Tempe, AZ 85284-0065

Please note that your application will not be processed until we have received the required material by postal mail.
After your application has been processed, you will receive an acknowledgement by email or postal mail.