Mikvah donations and Payments - Cong. Sha'arei Israel

Full Name*
First NameLast Name
E-mail*
Payment/Donation*
$20.00 - Mikvah Fee$36.00 - Mikvah Donation$50.00 - Mikvah fee for appointments after 11pm$54.00 - Mikvah Supporter$180.00 - Mikvah Patron$500.00 - Mikvah PillarOther - specify below.
Other donation amount:
$
Yes, I'd like to make this a monthly recurring payment.
Total
$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

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