<% card = strip(request.form("ibewcard")) fname = strip(request.form("fname")) lname = strip(request.form("lname")) unionnum = strip(request.form("unionnum")) address = strip(request.form("address")) city = strip(request.form("city")) substate = strip(request.form("state")) zip = strip(request.form("zip")) dayphone = strip(request.form("dayphone")) nightphone = strip(request.form("nightphone")) subemail = request.form("emailadd") comments = strip(request.form("comments")) Response.write(fname) %> IBEW Local 405 Re-Sign Form
IBEW Local 405

IBEW Local 405 Re-Sign Form

Please use the following form to do your Re-Sign for this month. IBEW Local 405 re-sign
is open from the first day of the month to the last day of the month for the month ahead.

You will receive an automatic response from Local 405 to your email account that you
have provided in this form as a confirmation. Please save a copy for your own records.

 

IBEW Card Number: *

First Name: *

Last Name: *

Local Union Number: *

Address: *

City: *

State: *

Zip: *

Daytime Phone:*

Evening Phone:

Email Address: *

Comments:
 

 

 

 


 

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