Alabama Association of 9-1-1 Districts
Membership Application
(Please Print)

9-1-1 District: ____________________________________

Mailing Address: __________________________________

________________________________________________

________________________________________________

Telephone: ______________________________________

Fax: ____________________________________________

E-Mail: __________________________________________

District Director/Administrator: ________________________

Voting Member: (If different from Director/Administrator)

________________________________________________

Membership fee for organization is $100.
Membership year is October - September

 Mail completed form and check to:
AAND
100 N. Jackson Street
Montgomery, Ala. 36104

*The Alabama Association of 9-1-1 Districts is an affiliate group of the Association of County Commissions of Alabama.


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