Membership Form

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Name

Staff No

Rank

Fleet

Base

Please deduct £ ( Minimum £2 ) per month from my

salary, with effect from .

This contribution will be made to the Air Cabin Crew Fund. Cancellation will be confirmed by me in writing to the Pay Office and Air Cabin Crew Fund administrators.

I agree that the Air Cabin Crew Fund may have limited access to my sickness record, contact details and roster information.

Contact E-mail:

Date   .

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