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P. O BOX 660505

BIRMINGHAM, AL

35266

Alabama Association of Arson Investigators Application for Membership

I hereby make application for membership in the Alabama Association of Arson Investigators, Inc.  In accordance with its Constitution and By-Laws and agree to be bound therewith.  I am forwarding $20.00 with this applIcation.  All information given by me is warranted to be true and correct.

Name: ____________________________________

Address: __________________________________

              __________________________________

Phone:  h) _________________________    w) ____________________________

Date of Birth: ___________________  County of Residence: _________________

E-Mail: ____________________________________________________________

Employer: ____________________________________________

Address:  __________________________________________________________

               __________________________________________________________

Please send correspondence to: ___ Office  ___ Residence

Job Title: ___________________________________________________________

IAAI Membership #: _________________

Applicant Signature: ______________________  Date: _________

You must be recommended by a current member:

Member Signature: _______________________________

                    Phone:________________________________

This application will be considered at the next regular A.A.A.I. Board of Directors meeting.  Make checks payable to      AAAI   mail to:  P.O. BOX 660505 BIRMINGHAM, AL. 35266-0505