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BOOK 1 SIGN

Local 84 Member Book Sign

**This form is only for members of Local 84.

If you are a traveler, you must have a letter of introduction sent to sign our list**

First Name:

Middle Initial:

Last Name:

IBEW Card Number:

Classification:

Last 4 SSN:

Phone Number:

Email Address:

Enter the text shown in the image above.

If you do not receive an email within the next business day letting you know that your book sign has been received then it has not been received by this office.