Complete the Edir Family Informational Form 1

Input your information to enroll your family in GAECO Edir. Once you have completed this form, you will be directed to PayPal to make your contribution. Thank you!

Please note this form is only for married couples or families.

If you are a single adult please click here.
If you are filling out a form for someone other than yourself, please click here.

* indicates required

Email Address *

First Name of Primary Adult *

Last Name of Primary Adult *

Phone Number *

() –
(###) ###-####

Spouse First and Last Name

Address *

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

How many children do you have under 18? *

Any children between 18-23 attending college? *

Child 1 (First & Last Name)

Birthdate of Child 1

/ /
( mm / dd / yyyy )

Child 2 (First & Last Name)

Birthdate of Child 2

/ /
( mm / dd / yyyy )

Child 3 (First & Last Name)

Birthdate of Child 3

/ /
( mm / dd / yyyy )

Child 4 (First & Last Name)

Birthdate of Child 4

/ /
( mm / dd / yyyy )

Child 5 (First & Last Name)

Birthdate of Child 5

/ /
( mm / dd / yyyy )

Please take a moment to think about who you would like to act on your behalf in the event of your passing. This person will receive your Edir funds to make all arrangements for your funeral. Please enter this person’s information below:

Independent Executor First & Last Name *

Independent Executor Phone *

() –
(###) ###-####

Independent Executor Address

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Independent Executor Email Address

I, the below named member, appoint my independent executor without bond upon my death. All above information is true to my knowledge.

Initial of Testator *

Complete the Edir Family Informational Form 1

Input your information to enroll your family in GAECO Edir. Once you have completed this form, you will be directed to PayPal to make your contribution. Thank you!

GAECO Community Site

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