RNPA
RETIRED NORTHWEST AIRLINE PILOT'S ASSOCIATION
Membership Application
There are two types of RNPA memberships:
Regular (NR) $35 - Pilots who retired from NWA, post merger retired Delta or active Delta
Affiliate (AF) $25 - All others
Please fill out the form below, print it out, and send it along with your check made out to "RNPA" to:
Retired NWA Pilots' Association % Dino Oliva 3701 Bayou Louise Lane Sarasota, FL 34242-1105
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Please choose type of Membership Regular Member Affiliate Member
First Name Last Name
Spouse's Name
Primary Mailing Address
Street City
State Zip+4 E-mail*
Primary Phone # Cell Phone #
Second or Seasonal Address
Second Home Phone #
Other Informaton
Date of Birth (Optional for affiliate member)
Date of First Employment with NWA Delta As:
An Employee A Pilot
Date of Retirement From NWA Delta As:
If Currently Employed By Delta Indicate:
Base Position
If Retired, Was It "Normal" (Age 60/65 for Pilots) Yes No
If Not, Type Of Retirement: Medical Early Resigned
Remarks: Affiliates Please include information as to profession, employer, department, positions held, and other relevant info:
Please Print this page first and then submit it!