First Name
Middle Name
Last Name
Address Line 1
Address Line 2
Zip Code
Daytime Phone ( ) -
Evening Phone ( ) -
E-mail Address

Become a  member of FORMLL and help bring the power and proof of long-term recovery from addiction to alcohol and other drugs to our loved ones, friends and neighbors. Join the fight and help us keep our organization strong and growing - our collective strength will ensure our success. To have a membership application sent to you by e-mail or snail-mail, submit the requested information in the form. Thanks for your support!  

Quick Contact

Tel: 256-796-4490
Email: formll@msn.com

Contact us if:

You or someone you know or care about suffers from the disease of addiction

If you would like to help start a local chapter of Alabama Voices for Recovery

If you would like to join the advocacy efforts of FORMLL