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New Member Application

AMCCMA Form 1

Rev. June 2009

ALABAMA MUNICIPAL COURT CLERKS and MAGISTRATES ASSOCIATION

NEW MEMBER APPLICATION and INFORMATION FORM

 

2018 ANNUAL MEMBERSHIP DUES $100.00

 

         

 

Name

 

 

 Municipal Court

 

 

 

Address

 

 

 

Phone

 

 

Email

 

 

 

For questions concerning memberships call Joy Evans at 334.782.2201 and leave a number where you can be reached after 5 pm or email your questions to jevans1561@charter.net.

 

 

Make Check(s) Payable To: AMCCMA         

 

Mail Form(s) and Check(s) To: AMCCMA

                                              PO Box 3585

                                              Montgomery, AL 36109

 

 

FOR OFFICE USE ONLY DO NOT WRITE IN THIS BLOCK

 

Check Number________________________________________________     

 

Check Amount $______________________________________________      

 

Deposit  Date 20______________________________________________

 

Member ID# __________________________________________________

 

Mailed Member Pin

 

Mailed Certified Rocker (if applicable) 

 

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