Hubble Telescope

The Retiree Club


An organization of retirees and other former employees of The Perkin-Elmer Corporation
The Retiree Club, P.O. Box 108, Norwalk, CT 06852-0108


2016 Retiree Club Membership and News Letter Form


The Retiree Club Membership yearly dues are still a modest $5.00 to defray the cost of our newsletter mailings, insurance coverage, and contingencies.

Note that you can join the Retiree Club if you are retired or are a non-retired former employee of the Perkin-Elmer Corporation.

(Please check your address label on the envelope for your Dues Expiration Date.)


Please fill in the form with the requested information. Print the form using the PRINT button above and mail it with your check for $5.00 payable to:
   The Retiree Club,
   P.O. Box 108,
   Norwalk, CT 06852-0108

Name:     Spouse:

Address:

Email address:

Phone:     Cell:

If this is the first time you are applying for membership, please tell us a little bit about what you are doing: Interests? Activities? Other? Just a few lines for the Mail Bag, - a short "Letter from Home." Thanks.



Do we have permission to release your name and address in our Membership Directory to those members who are interested in membership lists?
Yes  Your approval signature: ______________________________ Date:______________
No 

 Enclosed is $5.00 dues check for 2016