Member Name 

Business/Organization Name

Mailing Address 

City/State/Zip    

Business Phone  

Fax                   

Email Address  

Business Website Address

Active, Individual @ $175 ($14.58 per month)
         Seperate forms must be filled out for each additional member.
Active, Additional @ $125 ($10.42 per month)
Associate @ $30
Student @ $30

Membership dues are billed annually or prorated if there is are less than 12 months left in the calendar year. You will be invoiced upon approval of your application by the Board of Directors of the Southeast Alabama Advertising Federation.

I would be interested in serving on the following committee(s):
Membership
Education / Scholarship
Fundraising
Public Service
ADDY® Awards
Programs
Publicity & Communications
Club Achievement
I will consider a committee later with more info.

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