Mosaic Law Congregation Membership Application
Please complete this form and click Submit. A member of the Membership Committee will be in touch with you soon.
Your first six months' membership dues is free; however, we do ask that you pay our annual security fee of $180.
If you would prefer to complete your membership information on a paper membership form, click here to download it.
Please provide the name of a friend or relative, not living with you, who we can contact in an emergency if you or your co-applicant are not available.
Secondary Applicant can be a spouse, significant other, or domestic partner
Please list children living in the household or away at school
Thank you! We’ll be in touch soon.