Your online donation provides life-giving hope to mothers and their babies, both born and pre-born. Thank you for support of MiraVia!


Gift Information

Donation Amount*
  • $5,000
  • $2,500
  • $1,000
  • $500
  • $250
  • Other $

Your donation amount entered above will be processed today, and the same day each month or quarter if a monthly or quarterly frequency is selected. For example: to make a donation of $50 each month, please select $50 as your donation amount and monthly as your frequency.

Additional Information

Is this donation subject to a company match?
  • Yes

Please mail your company match form to:


P.O. Box 11499

Charlotte, NC  28220-1400

Anonymous Donation
  • I prefer to make this donation anonymously
Please list me in Annual Report as:

Contact Information

Company Name (if applicable)
Confirm Email*

Prefer to Give by Mail?

If you prefer to give by mail, please contact Megan Edahl, MiraVia's Development Director, at You will receive giving envelopes for each payment.


Please include: 

Your Name

Donation Amount

Donation Frequency (One Time, Monthly, or Quarterly)


Or you can mail to:

P.O. Box 11499
Charlotte, NC 28220-1400

I would like to receive electronic receipts for monthly or quarterly payments.
  • Yes

Questions? Please contact Stephanie Panizza, MiraVia's Bookkeeper, at 704-525-4673 ext. 16 or

Payment Information

Name on Card*
Card Number*
Additional Comments


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