TWA SENIORS CLUB
Membership Application for New and Renewing Members
Dues are $15.00 per calendar year – Jan. 1 - Dec. 31
Make Checks payable to: TWA Seniors Club
| Mail to: | TWA Seniors Club PO Box 901439 Kansas City MO 64190 |
Name:_________________________________________Spouse name:____________________________
Address:__________________________________ City_____________________ State_____ Zip_______
E-mail address: _______________________________________
PRN#___________ Retirement date:____________ Regional Chapter:______________________________
Joining as:
Retiree_______Associate_______Survivor_______
(indicate status by "X" in one of the above)
Please send top portion with your payment. Keep bottom portion for your records.
TWA SENIORS CLUB| Status: | Retiree: | TWA retirees and Ozark Airlines retirees listed in the official files obtained from TWA, LLC by the TWA Seniors Club in February 2002, and thereafter maintained by the Seniors Club. |
| Associate: | Any former TWA or Ozark employee who did not qualify for official retirement. | |
| Survivor: | The surviving spouse of a Retiree or Associate Member. |
| Note: | Retirees, Associate, members, and Survivors, upon payment of annual dues, shall be eligible to participate in all Club activities. Annual dues should be sent to the address above. Dues are $15.00 per member (husband and wife are "one" member). No membership card is sent. The mailing label on your Seniors Skylier indicates the "paid thru date" of your membership. |
Date paid:__________
Check No:__________
(Rev. 08/06/2006)
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