Name ………………………………………………….
                           First name ……………………………………………..
Address …………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
Date
                           of birth ………………………………………………………………..
Phone number ……………………………………
                           Mobile ……………………………………………………..
E-mail …………………………………………………………………………..
 
- Occupation 	with Lufthansa 
PK number ……………………………………….
From …………………………………………………
                                                                                              To ………………………………………………………………
At ………………………………………………………
From …………………………………………………
                                                                                               To ……………………………………………………………..
At ……………………………………………………..
Last Department ………………………………
                                                                                                 As ………………………………
 
- 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 TW20 8UA
 
Cheques payable to LH Seniors Club (UK) 
 
Subscription
                           fees:
 
Member
                           (Retired from LH receiving                           LH pension)  £10.00
  Associate Member: £20.00