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American Airlines Application, late 1990’s or early 2000’s

Looking through some of my old stuff and I came across an AA app, probably from the late 1999 or early 2000’s.  It still used the ancient “Scantron” type,  computer readable bubble format.  Also, for this privilege, you had to send a “NON-REFUNDABLE UNDER ANY CIRCUMSTANCE”, their emphasis, not mine, $100 check.