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
I
f you have an E-mail do you agree to have news letters and other
letter correspondence sent via e-mail?
YES
NO
Card Number:
H
ome Address
Street
City
State
Zip Code
M
ailing Address if Different than HOME
Street
City
State
Zip Code
Please check and make sure everything is complete and correct.
Notes or other Info: