Yes! I would like to attend the Mikvah Inauguration.


Name/s (and )

Email Address:

Reservations $18 per individual, $25 per couple

Individual     Couple     Additional Contribution

(If you prefer to pay by check click here, or call)

Name on Card 

Billing Address 

Billing Zip Code 

Credit Card Number 

Credit Card Expiration Date (xx/xxxx)