APPLY NOW!

Please fill out the following form to apply to be a MODERN & RAW member.

Things you should know:

- Membership can be paid monthly ($99/mo) or annually ($999/year)

- Non-refundable one time application fee of $40. (charges are made after membership approval). Also a sales tax of 7% will be added to the membership fee. 

- Make sure to complete your application fully to be reviewed. 

- Every little bit of information you provide us is confidential and treated with the out most respect to protect your own privacy. 

- Applying does not guarantee acceptance. 

- If accepted you will be contacted by a RAW Residency Team member. 

NOW LET'S GET MINDFUL AND RAW...

 

 
Name *
Name
Are you a Modern ŌM member? *
http://
Phone Number *
Phone Number
Birthday
Birthday
Address *
Address