Name …………………………………………………. First name ……………………………………………..

Address …………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………….

Date of birth ………………………………………………………………..

Phone number …………………………………… Mobile ……………………………………………………..

E-mail …………………………………………………………………………..
 

1. Occupation with Lufthansa

PK number ……………………………………….

From ………………………………………………… To ………………………………………………………………

At ………………………………………………………

From ………………………………………………… To ……………………………………………………………..

At ……………………………………………………..

Last Department ……………………………… As ………………………………

1. Name of Spouse/Partner ………………………………………………………………………………………………

I agree that my personal details under A may be published in the membership list

Date ……………………………….. Signature

Please complete form and send to Ms B. Slack

                                                   26 Fleetway, Thorpe, Egham,

                                                   Surrey TN209UA

Cheques payable to LH Seniors Club (UK) 

Subscription fees:

Member (Retired from LH receiving LH pension)  £10.00

  Associate Member: £20.00