Join BMCC

Membership Application

Join our mosque community and stay informed about upcoming events, programs, and initiatives. Your information is stored securely and used only for mosque communications and community engagement.

Fields marked * are required.

1. Primary Member Information

The main contact for this membership.

Full Name

Street address

City

State

ZIP code

Date of Birth

Phone Number

Email Address

Emergency contact name

Emergency contact phone

2. Household & Dependents

List immediate household members (spouse, children, or dependents) — this includes them in community events and the Funeral Services Benefit.

3. Membership Fees

Choose a billing cycle.

4. Funeral Services Benefit — included

Your membership includes up to $10,000 in funeral service coverage for your household, starting 6 months after enrollment. See the Funeral Services Benefit Policy ↗ (opens in a new tab, so your application stays right here) for full eligibility, payment, and claims details.

5. Declaration

I hereby request membership with Brentwood Muslim Community Center (BMCC). I agree to uphold the values and code of conduct of the mosque and understand that my information will be used solely for mosque communications.

Next, you'll go to a secure page to pay your first dues. Your membership becomes active once the payment goes through.