FLIGHT STANDARDS RETIREES INC.

                                   MEMBERSHIP APPLICATION

 

 

DATE____________________

 

NAME: _____________________    SPOUSE'S NAME: ___________________________

      5 Renewing with changed contact information      5 New membership

                                                           

ADDRESS: ____________________ TELEPHONE:   (        ) _______________________

 

CITY: _____________________STATE: ___  ZIP CODE: __________________________

 

DOB (OPTIONAL) _____YEARS OF SERVICE __________________________________

             ( YEAR STARTED)           ( YEAR RETIRED)                  ( STILL WORKING )

 

TYPE AND CLASSIFICATION OF WORK* ______________________________________

 

WORK LOCATIONS: _______________________________________________________

(CITIES, WASHINGTON OFFICE, REGIONS OR CENTERS

 

COMMENTS:  _____________________________________________________________

 

E-MAIL ADDRESS (OPTIONAL)  ______________________________________________

 

 NAMES AND ADDRESSES OF SUGGESTED MEMBERS

 

 

 

 

________________________________________________________________________________

 

ANNUAL DUES OF $10 ARE                              SEND DUES TO SECRETARY-TREASURER

PAYABLE EACH JANUARY 1ST.                       ADDRESS:

MAKE CHECKS PAYABLE TO:                                      Frank Kellogg

P. O. Box 2109

FLIGHT STANDARDS RETIREES INC                             Freedom, CA 95019

________________________________________________________________

 

*ABBREVIATIONS FOR TYPE OF CLASSIFICATION OF WORK ASSIGNMENT

 

AC-A       AIR CARRIER AVIONICS                                   AS-A       AIRCRAFT MGM'T AVIONICS

AC-M      AIR CARRIER MAINTENANCE                         AS-M       AIRCRAFT MGM'T MAINTENANCE

AC-O      AIR CARRIER OPERATIONS                            AS-ET     AIRCRAFT MGM'T ELEC. TECH.

GA-A       GENERAL AVIATION AVIONICS                       AM-IP      AIRCRAFT MGM'T PILOT

GA-M      GENERAL AVIATION MAINTENANCE             ADM        ADMINISTRATIVE, CLERICAL,

GA-O      GENERAL AVIATION OPERATIONS                                AND SECRETARIAL

ENG       AIRCRAFT ENGINEERING                                                CAAG     CIVIL AVIATION ADVISORY GROUP

MFG        AIRCRAFT MANUFACTURING                         ICAO       INTRNTL. CIVIL AVIATION ORG.

OTHER _______ SPECIFY____________

                                          (IF APPROPRIATE, MORE THAN ONE CODE MAY BE SHOWN)

 

NOTE:  Members shall be limited to personnel or former personnel of the FLIGHT STANDARDS SERVICE, or any

of its predecessor organizations, and to the surviving spouses of such a person.

 

We invite our retired friends, as well as those still-working members of Flight Standards, Flight Inspection, and

Flight Test to join the FSR organization

                                                                                www.faa-fsr.com