LightSource membership application:

Please fill out the information carefully. You may be contacted for more information. You must also submit a picture or image of your current state ID, drivers license or passport to email lightsourcemovement@gmail.com with your full name in the subject line or by mail to LightSource membership, 89 Church ave, Brooklyn NY 11218.
Please submit form only once.
Please carefully read the LightSource bylaws before submitting the form.
Membership application fee is $30 nonrefundable. (membership application fee is wavered at the time being)
The fields with a red star (*) are required.
All information will remain confidential and will not be shared with third parties.