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Update contact Information

Thank you for choosing to update your contact information with Waabee Self-Help Association. Please fill out the form below to submit your updated details and ensure we stay connected.

SECTION 1: APPLICANT INFORMATION

Name
Address
Are you a resident of the DMV area?
Do you currently reside with a registered member?
If yes, please provide member name

SECTION 2: FAMILY INFORMATION

Spouse (if applicable):

Dependent Children

Family Members Living in North America (if applicable):

SECTION 3: MEMBERSHIP TYPE

Select one:

SECTION 4: IDENTIFICATION & DOCUMENTATION

Please check off each item relavant to your application and you could provide documentation up on request for this application

SECTION 5: FUNERAL BENEFIT REPRESENTATIVE

Primary Representative:

Alternate Representative (if any)

SECTION 6: DECLARATION

Declaration

I hereby affirm that the information provided above is accurate to the best of my knowledge. I agree to abide by the Association's Bylaws, fulfill all dues and contributions, and update the Association with any change in status or address.
Applicant Signature

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