Burlington UA Weld Test/Continuity Registration Page

Burlington UA Weld Test/Continuity Registration Form

780 Chrysler Drive, Burlington, Washington 98233

Name *

First

Last

Are you a UA member? *

Which Local? *

UA Member # *

Social Security # *

Have you spoken to an Organizer? *

Organizer's Name: *

Phone *

Email *

Weld Test or Continuity? *

Weld Test(s) Needed *

You may select up to two (2) tests. Only ONE if doing a Super Coupon

Test/Continuity Dates: *

*Please select one

Local 26 Ed-Dev Trust

DBA United Association Local 26