APPLICATION FOR
MEMBERSHIP
A. Personal
details
Mr./Mrs./Ms………………………….
Name
.......................................…….. First name.......................................
Address
…………..…………………………………………………………
………………………………………………………………………………
…………………….…………………………………………………………
……………………..…………………………………………………………
Date
of birth ……………………………………..
Phone
number ................................……… E-Mail …….................................…….
B. Occupation
with Lufthansa
From…………………………
to……………………
as………………………………….
From…………………………
to…………………….
as………………………………….
Last
Department ............………..........................
PK number.........…...............
(e.g.
LONST)
………………………………………………………………………………………
I
agree that my personal details under A may be published in the membership list.
Date......................
Signature……………………………..
Please make cheque payable to: Lufthansa
Seniors Club (UK) and forward to:
Mrs. J. Reardon,
9 Avalon Close,
Watford, Herts. WD25 9TW
