Rising Tide Membership & Renewal Are you a new or returning member?* I am signing up for a new membership I am renewing an existing membership Please select a membership category* Organizational Membership Individual Membership Our organization met with the Director of Rising Tide within one week from today ($25 discount)* Yes No Please select a type of new Organizational Membership* Flowing Waters Sustaining Member: Support the open mikveh movement & be recognized ($600) Established Mikveh: Our community is currently operating a mikveh and has a budget at or over $50,000 ($450) Established Mikveh: Our community is currently operating a mikveh and has a budget under $50,000 ($340) Emerging Mikveh: Our community is in the process of developing a new open mikveh ($340) Aspiring Mikveh: Our community is in our first year exploring the creation of a new open mikveh ($180) Please select a type of new Organizational Membership with discount* Flowing Waters Sustaining Member: Support the open mikveh movement & be recognized ($575) Established Mikveh: Our community is currently operating a mikveh and has a budget at or over $50,000 ($425) Established Mikveh: Our community is currently operating a mikveh and has a budget under $50,000 ($315) Emerging Mikveh: Our community is in the process of developing a new open mikveh ($315) Aspiring Mikveh: Our community is in our first year exploring the creation of a new open mikveh ($155) Please select a type of renewal Organizational Membership* Flowing Waters Sustaining Member: Support the open mikveh movement & be recognized ($600) Established Mikveh: Our community is currently operating a mikveh and has a budget at or over $50,000 ($450) Established Mikveh: Our community is currently operating a mikveh and has a budget under $50,000 ($340) Emerging Mikveh: Our community is in the process of developing a new open mikveh ($340) Please select a type of Individual Membership* Mikveh Guide: I am a future, current, or former Mikveh Guide, facilitating Jewish ritual water immersion for others ($54-$180 annually — Suggested amount: $100) Mikveh Supporter: I am a community partner, ambassador, and/or enthusiastic learner about open mikveh, and I am not yet involved in a local mikveh organization or initiative ($54-$180 annually — Suggested amount: $100) I am a graduate of the Seven Steps Mikveh Guide Training Program ($10 discount)* Yes No Membership Information Name of Mikveh* Your Name* First Last Email* Has the address of your mikveh changed in the past year?* Yes No Mikveh Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone* Would you like to change the primary contact person and/or organization representatives for your mikveh at this time?* Yes No Name of Primary Contact Person* Email of Primary Contact Person* Names & emails of representative(s) from your organization (up to 5). You can always add/change representatives later.* Please reference your organization listing on our Member Directory. Do you want to see any changes to your listing? Yes No You can view the member directory here: https://www.mayyimhayyim.org/risingtide/members Please write a short description (up to 300 words) about your mikveh to be displayed on the Rising Tide Network website.* Please upload photos to include with your Member listing (e.g. mikveh pool, program participants, building photos, etc.)* Please enter your changes here:* How would you describe yourself (check all that apply)?* Former Mikveh Guide Current Mikveh Guide Future Mikveh Guide Other (please describe) Please describe:* Please provide a short bio to introduce yourself to the Rising Tide Network.* Payment Add $150 for 5 Mikveh Guide Memberships ($120 discount)* Yes, add 5 Mikveh Guide Memberships No Mikveh Guide Membership offers ongoing learning, support, and connection for Mikveh Guides in your organization. Name and emails of Mikveh Guides - If you don’t know yet, you can provide this information later! Add access to the Mikveh Starter Toolkit program (Sliding scale of $300 – $500: Suggested: $400) The Mikveh Starter Toolkit is a robust collection of resources, guided activities, one-on-one consultation, and templates to support communities in launching a new open mikveh initiative. Learn more about the Mikveh Starter Toolkit here. Add $150 for 2 registrations to the Rising Tide Gathering (50% discount)* Yes, add 2 registrations to the Gathering No The Rising Tide Gathering is an annual convening for mikveh makers across the globe, featuring workshops, peer learning, and networking. Learn more about the Rising Tide Gathering here: https://www.mayyimhayyim.org/risingtide/gathering/ Name and emails of attendees - If you don’t know yet, you can provide this information later! What would you like to contribute for your Mikveh Supporter membership? Sliding scale: $54-$180 annually (Suggested amount: $100) What would you like to contribute for your Mikveh Guide membership? Sliding scale: $54-$180 annually (Suggested amount: $100) What would you like to contribute for your Mikveh Guide membership? Sliding scale: $54-$180 annually (Suggested amount: $100) What would you like to contribute for your discounted Mikveh Guide membership? Sliding scale: $44-$170 annually (Suggested amount: $90) Add $75 for 1 registration to the Rising Tide Gathering (50% discount)* Yes, add 1 registration to the Gathering No The Rising Tide Gathering is an annual convening for mikveh makers across the globe, featuring workshops, peer learning, and networking. Learn more about the Rising Tide Gathering here: https://www.mayyimhayyim.org/risingtide/gathering/ Payment Method* Pay securely now with a credit card Please send me an invoice with payment options Total $0.00 Credit Card American Express Discover MasterCard Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name CAPTCHA
