This is NOT an ONLINE FORM. PRINT and MAIL This Form
Association of Former Pan Am Employees, Inc.
P.O. Box 430
Bethpage, NY 11714-0430
Tel/Fax NY- 516-942-5121, FL-561-357-1075
EMAIL afpaeinc@aol.com / afpaeinc@panam.org

If you are already a member of AFPAE Inc.
Do NOT use this form to pay your dues. You will be billed each
year in the month you joined.

FOR YEARLY MEMBERSHIP FEE, PLEASE ENCLOSE CHECK OR MONEY ORDER FOR $25.00
PAYABLE TO AFPAE, INC.

FOR LEGAL DEFENSE FUND DONATIONS, PLEASE ENCLOSE A SEPARATE CHECK
PAYABLE TO AFPAE, INC. / LDF

 

First Name

Last Name

Street Address

City

State

ZIP

Employee #

Work Location

Home Phone

Soc Sec Num

Seniority Date

Job Classification

EMAIL Address
Please Check One:
Working     Unemployed     Retired    Disabled

I worked for:
PAA Only PAA/NAL NAL Only

To support projected Court Costs of over $1 million dollars, we have asked everyone to make a commitment of $125 to our Legal Defense Fund. Please DO NOT combine your membership fee and your donation on the same check. The TWU has donated $350,000; the IBT has donated $50,000. AFPAE donations from members and friends have totaled over $450,000. Court costs and related expenses have already exceeded $820,000. If we are successful, we may increase your pension benefits between $100 to $600 a month, for the rest of your life. We are asking everyone to do his or her fare share. Join AFPAE, and make a donation to our "Legal Defense Fund." Our 2nd. law suit is not a "Class Action," it is a "False Claims Act" suit, and only AFPAE members will participate. This suit has been filed against "Office Specialists" the subcontractor PBGC hired to administer the PAA Pension Plans. It alleges a fraud of $50,000,000. We receive 15% of everything the government recoups.


This is NOT an ONLINE FORM. You Must PRINT and MAIL This Form
 

 

afpae_appl.htm
Monday, January 22, 2001 9:52:47 AM