2022 Membership Dues

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for joining AFDA in 2022! We are glad to have you with us and know that we are stronger together.

For any queries regarding membership or the AFDA, please contact AFDA@legacymail.org or 501.246.8842

Funeral Home *

Address (Street, City, Zip Code) *

Number of Death Certificates Filed - 2019 *

0-49 - later in form you will choose either $200 annually or $70 quarterly

50-99 - later in form you will choose either $350 or $107 quarterly

100-199 - later in form you will choose either $450 or $132 quarterly

200-299 - later in form you will choose either $600 or $170 quarterly

300-399 - later in form you will choose either $700 or $195 quarterly

400+ - later in form you will choose either $800 or $220 quarterly

Associate (contract professional not associated with a firm) - $125

Individual: Student, Widow/Widower of an AFDA member and Retired Members - $65

Payment Method *

Bank Draft

Check

Credit Card

Clear form

Never submit passwords through Google Forms.

This form was created inside of LegacyMail. Report Abuse

Forms