Join Austin Area Mutual Aid EDIR – Membership Registration

Membership Requirements & Fees

✓ One-time Registration Fee: $75.00 (due upon approval)

✓ Annual Administrative Contribution: $10.00 per adult member

✓ Contribution: $25.00 per replenishment — members contribute when a death occurs

✓ Must reside in the Austin / San Antonio metro area

First Name*

Father's Name / Middle Name

Last Name*

Gender*

Date of Birth

Marital Status

Occupation

Phone*

Email*

Address*

City*

State*

Zip code*

Person to contact and act on your behalf in case of emergency.

Designated Representative*

Rep Phone*

List your spouse and/or dependent children who are part of this edir membership.

Full Name	Relationship	Date of Birth	Phone (optional)

I certify that the information above is true and accurate, and I agree to abide by the rules and bylaws of the edir.*

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Registration Fee — 1 member

After submitting you will be taken to a secure Stripe checkout. Your application will not be reviewed until payment is received.

Registration fee $85.00

Processing fee (2.9% + $0.30) $2.77

Total charged $87.77

After approval, an annual administrative contribution of $10 per adult member, per year applies each January.

Secured by Stripe · Visa, Mastercard, Amex accepted

You will be redirected to Stripe's secure checkout after submitting.

Membership Registration Form