Application – Americas | Confraternity of the Rose Cross

To apply for membership of the Confraternity of the Rose Cross please complete and submit the online form below or alternatively download, print, complete and post the PDF Application Form. It is important that your application is accompanied by the the appropriate payment (details below):

Contact Details

Name *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Email *

Other Details

Gender *

Male

Female

Date of Birth *

Occupation *

Education *

Other Orders

Mystical/Fraternal Organizations in which you are currently a member *

Mystical/Fraternal Organizations in which you were a member in the past *

Declaration

Will you keep an open mind and faithfully study the Rosicrucian teachings and apply them in your daily life? *

Yes

Why do you wish to be a member? *

Payment

Registration & Dues

Registration Fee (Per application)	$25US
CR+C Annual Membership Dues (Payable annually or in quarterly installments of $25)	$100US
CR+C Annual Membership Dues (Digital) (Payable annually or in quarterly installments of $20)	$80US
CR+C Annual Companion Membership Dues (For two members of the family – same mailing address. Payable annually or in quarterly installments of $35)	$140US
CR+C Annual Companion Membership Dues (Digital) (For two members of the family – same mailing address. Payable annually or in quarterly installments of $30)	$120US

Method of payment:

We accept checks, money orders, most major credit cards, and PayPal. To pay online with your credit card or PayPal go to the Online Payments page.

For checks and money orders please make remittances payable to Confraternity of the Rose Cross in US Dollars and post to:

Confraternity of the Rose Cross
PO Box 782
Homestead, PA 15120-5782
USA

Total Amount Paid *

Registration fee plus at least the first quarterly payment is required with your application. N.B. If your application is not accepted this will be refunded.

Privacy *

Here at the Confraternity of the Rose Cross, we take your privacy very seriously and will only use your personal information to assess your suitability for membership or to contact you from time to time with regard to your membership as described in our privacy policy.

I Agree

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