FILL OUT THIS ONLINE FORM TO ADD OR REMOVE YOUR PERSONAL E-MAIL ADDRESS FROM THE IBEW LOCAL 965 LIST.

YOUR PERSONAL E-MAIL ADDRESS WILL BE HELD CONFIDENTIAL, AND WILL NOT BE GIVEN TO A THIRD PARTY WITHOUT YOUR PERMISSION.

Name:

Work location:

E-Mail address:

Re E-Mail address:

DO YOU WISH TO:

Add your E-Mail address:

Remove you E-Mail address:

Change your E-Mail address:

Use this space for any special instructions: