VENDOR REGISTRATION – Alabama Funeral Directors and Morticians Association, Inc. | 205-759-5736 or 205-886-7858

205-759-5736

Welcome to the AFD&MA, Inc.

VENDOR REGISTRATION Form

Firm Name

Mailing Address

Address

Address Line 1

City

State

Zip Code

Primary Email Address: *

Title Address Cell

Cell #

Office #

Fax #

Badge Information

Emergency Contact Name & Number

Company Title

Owner
Manager
Representative
Other

Dietary Preferences: We will do our best to accommodate your dietary needs but cannot guarantee availability of choices. Please circle your preferences below:

Seafood Allergies

Yes
No

Vegetarian

Yes
No

Food Allergies