Immersion Donation Form

To donate by credit card, please use the form below.

Prefer to donate using a different method? Here’s how:

Donor Advised Fund (DAF): Simply login to your donor portal and search for Metro Atlanta Community Mikvah
Venmo: Send your donation to @AtlantaMikvah
PayPal: Use this link https://bit.ly/PayPalMACoM
Zelle: Send your donation to mday@atlantamikvah.org

Donation Amount

Full Name

First NameLast Name

Home Address

Street Address

Street Address 2

CityState

Zip

Phone Number

Format: (000) 000-0000.

E-mail

Country

Are you affiliated with a synagogue?

Which one?

Would you like to make this donation in honor/memory of someone?

In Memory/Honor of (Name)

Email of person to be notified (enter n/a if no email to be sent)

Brief message or dedication you would like include in the notification email.

My employer may match my gift

Employer Name

FINAL CALC DONATION

USDDescription