Application/Renewal for ACOWF Membership

Complete the application below. Click the PRINT button to print completed application.
Send application along with a $20.00 check or money order for new memberships or renewals to:

Alabama Council on Welfare Fraud
PO Box 5259
Montgomery, Alabama 36103-5259

To make changes to current memberships, simply print and mail.  No additional money is needed.

* = required field

 
*Your Name:
Title:
Organization:
*Address 1:
Address 2:
*City:
*State:
*Zipcode:
*Email Address:
*Phone Number: ( )      ext.

Type of Application 

 (Place an "X" in the appropriate block below)

New Membership:  
Renew Membership:  
Change Report:  
Referred by:

Print


Mail application and check to:
Alabama Council on Welfare Fraud
PO Box 5259
Montgomery, Alabama 36103-5259

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