Membership1 | South Carolina Morticians Association, Inc.

MEMBERSHIP

According to the By-Laws, Article VIII Dues: “Each member shall pay to the Financial Secretary between November 1 and January
1, annual dues. If said dues are not paid by this date, a $25 late fee shall be assessed.”

Membership Fee: $600 per year (Add for State $250 & NFDMA, Inc. $350)
Firm Member (State Only) – $250 Per Year
Student/Apprentice – $150 Per Year

If paying by check, please make check payable to: AFD&MA, Inc.
Post Ofce Box 2687
Tuscaloosa, Alabama 35403
205-759-5736 Direct Line 205-886-7858

Is this a Renewal or New Membership? Is this a Renewal or New Membership? Renewal New Membership

Name

Email Address

Mailing Address:

City:

State:

Zip code:

Phone:

Fax Phone:

Make a selection below: Make a selection below: Owner Employee Licensed Funeral Director Licensed Funeral Director & Embalmer

Funeral Director's License Number:

Embalmer's License Number:

Company Name:

Company Address:

City:

State:

Zip code:

Work Phone:

Work Fax:

Work Email:

How do you prefer information be sent to you? How do you prefer information be sent to you? Mailing Address Company Address

Additional Comments:

15 + 7 =

South Carolina Morticians Association, Inc. | P.O. Box 1013 Laurens, SC 29360 | P: 864-923-1024 | F: 864-682-7798