Annual Dues $50.00 (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__________________________________________________
School Currently Attending
_______________________________________________________
Home
Address________________________________________________
City_____________________________State______Zip_________
Phone______________________________________
Fax#_______________________________________
Cell#_______________________Other#_____________________
E-Mail__________________________________________
Please list any other related organizations or awards________________________________________________
Are you currently working in design field?________
If so, where?____________________________________
By signing below, you attest that all information given in this application is true and accurate.
Signature_____________________________________________
Date_________________________________________________
