Please Fill out this Form to Update your information to the union
hall.  If you change something or add new numbers or e-mails just
fill out this form.  Please type your full name so we know who sent
the update.  (Do not use this to Resign)

IBEW 196
Update
Form
Name:
Classification on ticket:
E-Mail Address:
(That you Check)
Home phone:
Mobile Phone:
Work Phone:
If you listed a mobile phone do you agree to receive text
messages on it from the union hall?
YES
NO
If you have an E-mail do you agree to have news letters and other
letter correspondence sent via e-mail?
YES
NO
Card Number:
Home Address
Street
City
State
Zip Code
Mailing Address if Different than HOME
Street
City
State
Zip Code
Please check and make sure everything is complete and correct.  
Notes or other Info: