First Book Sign

Card Number : (If you don't have a card number, enter 123)
Name   First and Last
Mailing Address :
City State Zip :
Phone Number :
E-Mail :
Date :
Classification : (Wireman, Lineman, Operator, Groundsman, Splicer, Gas Tech)
If Groundman - answer (Power, Gas, Teledata, or All)
If Operator - answer (Power, Gas, Teledata)
Book 1 2 3 4 : (Leave blank if you don't know)
Kalispell  Wireman YES or NO:  (Wiremen only)
Wiremen only - Long Call Yes or No
Wiremen only - Short Call Yes or No
Missoula Wiremen YES or NO:  (Wiremen only)
Wiremen only- Long Call Yes or No
Wiremen only- Short Call Yes or No