ADAD Individual Membership Application
Annual Dues $150.00 (non refundable)
Please print out this page and type or print clearly in blue or black ink. Please fill
out all fields. Return your application along with the annual dues to the following address:
ADAD, Inc.
2065 Old
Montgomery Hwy
Birmingham,
AL 35244
General Information
Name__________________________________________________
Company_______________________________________________
Title___________________________________________________
Address________________________________________________
City_____________________________State______Zip_________
Business Phone______________________________
Fax#_______________________________________
Cell#_______________________Other#_____________________
E-Mail__________________________________________
Education & History
College/School__________________________________________
Degree Recieved______________________________________________
Please list any other professional organizations or awards________________________________________________
Years worked in design field________________________
% of work Residential______________
% of work Commercial______________
By signing below, you attest that all information given in this application is true and accurate.
Signature_____________________________________________
Date_________________________________________________
