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 Retiree Club Listing Request
 
Guidelines for requesting the addition of your club to the Retiree Club Listing:
  • Only clubs whose focus is DaimlerChrysler or Chrysler Group retirees and spouses will be considered.
  • Only a Chrysler Group Retiree or Surviving Spouse may request the addition of a club to the Listing.
  • There is no guarantee that any submission will be added. 
Requester Information
The information below is used to validate your identity and must be completed to process your request.
Your Name:
Your Role: (Coordinator, President, etc.)
Your Pension File Code:
Retirement Date:
Listing Information
Club Name:
Mission/Purpose of Club:
Type of Membership: (Salary Retirees? Hourly Retirees? Spouses?)
Number of Members:
What geographic area does your club include?
Where do you meet?
When & how often do you meet?
Contact phone number or email:
Web Site address:

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