Re-Sign Form

IBEW
LU 136 Birmingham, Al.

Re-Sign Form

You may re-sign Local Union 136's out of work books 1 and 2 by filling out the form below. An email will be generated to the Referral office upon submission. Re-sign is the First Monday of every month. We accept submissions from 4:30 pm Friday afternoon prior and until 12:00 midnight on Monday.

IBEW Ticket #: *
First Name: *
Last Name: *
Local Union #: *
Original Sign Date: *
Address Street 1: *
City: *
Zip Code: *	(5 digits)
State:
Daytime Phone:
Evening Phone:
Email: *
Comments:	Enter comments here!

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