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New Members’ Application Requirement Guide

❑Applications for membership can be made online or by mail. All applicants are required to appear before the Board (husband and wife, if married) before their applications are approved. ❑ If the Board meeting is held virtually, the applicant, both husband and wife if married must appear at the virtual meeting. ❑ All applicants to Edir should submit the following required documents.

Required Documents

❑ Completed Application Form. ❑ Driver’s license or City ID with Tri-State address of both, if married to verify legal residency. ❑ Birth certificate for dependent children under age 22. ❑ Birth Certificate for applicants age 22 to 35. ❑ Marriage certificate for married couples. ❑ Application fees.

Dues & Fees

❑ One time membership fee for couples and individuals over 35 years – $1000

❑ One time membership fee for 22 years to 35 years – $150 ❑ One time membership fee for members dependent parent – $500 ❑ Additional payment to the one-time membership fee for dependents under 22 years – $75 ❑ Annual administrative fee – $60 – All applicants pay this fee.

የኢትዮጵያውያን እድር የመረዳጃ ማህበር በኒውዮርክ ኢንክ

Ethiopian Edir Mutual Assistance Association in New York Inc.

450 Lexington Ave. 4th Floor

C/o WeWork

New York, NY 10017

Application for Membership

Applicant Full Name
Maritial Status
Permanent Residence Address

If Married, please provide Spouse’s Cell Phone No. and Email address:

Names of Children under 22 years of age and Date of Birth

Birthday
Birthday
Birthday
Birthday

(Proof of age document is required with the membership application)

Death Beneficiary

If spouse, check box (this will work for either spouse)

Otherwise, please provide detail of your beneficiary below:

Full Address of the Beneficiary

Next of Kin

(Next of kin will be contacted in the absence of a designated beneficiary or if the beneficiary cannot be reached)

Agreement

As a member, I fully agree and abide by the rules and regulations of EEMAA. I hereby apply for membership and pledge to fully adhere to the Administrative Regulations and Bylaws of EEMAA. I also certify that the information provided above is true and correct.
Do you understand and agree to the terms listed above?

Clear Signature

Clear Signature

For office use

For office use

For office use

For EEMAA’s Use: Accepted__ Not Accepted __ (see attached) Initial_____ Date________________

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