Full Name* First Name Last Name E-mail* NEW: Mikvah Membership (Annual) Purchasing a Mikvah Membership is becoming an active partner in the service, maintenance and the beautification of the Mikvah at the Jewish Life Center in Raleigh. Your commitment ensures it is a continued space of serenity, of peace, and of spirituality. With a Mikvah Membership, your charitable commitment provides access to monthly Mikvah appointments (including late-evening appointments), High Holiday Mikvah appointments, and access to our Mikvah when needed for toiveling dishes. Most importantly- you are ensuring we can continue providing the opportunity for this beautiful Mitzvah to the Jewish Community in the Triangle. ***Platinum Membership at Cong. Sha'arei Israel includes a Mikvah Membership. If you are a Platinum Member- we thank you for your membership and support! Mikvah Membership No User Fees Individual Membership: $250Family Membership: $360Mikvah Pillar: $770Mikvah Benefactor: $1800Mikvah Patron: $5000 Thank you for your commitment to our Mikvah! Your Membership is valid for one year from the submission of this payment. A Tax Deductible Receipt will be sent for your donation to our Mikvah! Standard Payments Payment $20.00 - Mikvah Fee$50.00 - Mikvah fee for appointments after 11pm$10 - Toiveling Dishes Mikvah Renovation Initiative Mikvah Rennovation Project Turquoise Supporter: $36Pearl Supporter: $72Sapphire Supporter: $180Emerald Supporter: $360Ruby Supporter: $500Diamond Supporter: $1,000 Total $0.00 Payment Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page. Submit Should be Empty: This page uses TLS encryption to keep your data secure.