Personal Information

Let's start with your basic details to create your membership profile.

Profile & Verification

Upload your photo and identity documents for account verification.

Beneficiary Details

Designate who should receive community support in your memory.

Legal Compliance

Review and agree to all legal terms and conditions before proceeding to email verification.

Email Verification

Verify your email address to secure your account and enable communication.

Complete Membership

Finalize your $200 annual membership payment.

Please enter a valid 10-digit US phone number

✓ Valid US phone number

At least 8 characters
One uppercase letter
One lowercase letter
One number
One special character (!@#$%^&*)

Passwords do not match

✓ Passwords match

Eligibility: Members must be between 18-70 years of age. Your age will be verified based on your date of birth and government ID.

Profile preview

Upload a clear headshot photo (JPG, PNG, max 5MB)

or drag and drop

Driver's License, Passport, or State ID - FRONT SIDE (PDF, JPG, PNG, max 10MB)

Driver's License, Passport, or State ID - BACK SIDE (PDF, JPG, PNG)

Privacy & Security: Your full Social Security Number is required for identity verification through Stripe Identity. It will be encrypted with bank-level security and only the last 4 digits will be stored unencrypted. The full SSN is hashed (one-way encryption) for verification purposes only.

Your SSN is protected with 256-bit encryption. Click the eye icon to show/hide.

Identity Verification Required

Your identity will be verified through Stripe Identity after you complete all signup steps. This secure process will verify your SSN and government-issued ID through automated checks including:

  • Document authenticity verification
  • ID data extraction and validation
  • Liveness detection (selfie verification)

Note: Verification will be automatically initiated after you submit your complete application in Step 4. You'll receive a verification link via email to complete the process, typically taking 1-2 minutes.

Identity Verification Submitted!

Thank you for completing the identity verification. Your information is being processed by Stripe. You can now continue with your signup by adding your beneficiary information below.

Important Beneficiary Information

Important: Your beneficiaries will receive the community support funds in the event of your passing. Please provide accurate contact information and allocate the percentage share for each beneficiary. The total must equal 100%.

Allocation Summary

Total Allocated:
Remaining:

Please read the following sentence carefully and type it exactly as shown below:

I understand this is a mutual aid membership, not insurance.

Legal Agreements & Consents

📄 Review Legal Documents: Before proceeding, please review our complete legal documentation:

Digital Signature

⚠️ Please agree to digital signature consent above to enable this field

Electronic Signature Acknowledgment:

By typing my name above and clicking "Save Information" below, I am electronically signing this agreement on . This electronic signature has the same legal effect as a handwritten signature.

Your Verification Code

Enter this code below to verify your email address

OTP Code
Valid for 10 minutes

Email Verification Required

Your verification code is displayed above. Please enter the 6-digit code below to verify your email address.

Verification code sent to:

Enter the 6-digit code from your email

Email verified successfully!

Complete Your Membership Payment

Annual membership fee + payment processing fee

$206.00
Due today

Payment Breakdown

Annual Membership Fee $200.00
Payment Processing Fee (3%) $6.00
Total Amount $206.00

The 3% processing fee covers payment provider costs (Stripe). Your payment method will be securely saved for future annual renewals.

Payment Information Notice

You will be charged $206.00 today to activate your membership immediately:
$200 annual membership fee (renews automatically each year)
$6 payment processing fee (3% of membership fee)
$1 contributions will be charged separately when you choose to support families of deceased members

Your payment method will be securely stored for future automatic renewals and optional contributions.

Choose Your Payment Method

Please agree to payment consent above to enter payment details

We accept Credit/Debit Cards, Cash App Pay, Amazon Pay, Link, and other payment methods. Google Pay (Chrome only) and Apple Pay (Safari only) will appear if available on your device. Your payment will be processed immediately.