Name:______________________________Spouse name:_________________________
Address:_____________________City:______________State______Zip:____________
Email address:_______________________
Name of Regional Chapter to which you belong:_________________________________
(TW/OZ) PRN:____________Year hired:_________Year retired or left TWA:________
(TW/AA) AA ID #_____________Year hired with TW:_____________
(TW/AA) Still active with AA: _____________ Year retired or left AA:_____________
I am joining as: Children of TWA/OZ Retirees/Former Employees________________
I am joining as: Retiree:___________Associate:____________Survivor:_________
(See definitions below) (Indicate status by “X” in one of the above)
Please send top portion with your payment. Keep bottom portion for your records.
Check number:_______ TWA SENIORS CLUB Date paid:___________
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.
Children: TWA/OZ Retirees/Former Employees.
Associate: Any former TWA or Ozark employee who did not qualify for
official retirement. Also any TW/AA employee who is still active
or retired, or did not qualify for official retirement.
Survivor: The surviving spouse of a Retiree or Associate Member.
Note: Retirees, Children of TWA/OZ 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 Skyliner
indicates the “paid thru date” of your membership.
(Rev: Nov 2010)
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