First Name *

Last Name

Company Name

Email Address *

To make an offline donation, please follow the instructions below:

1. Make a check payable to "Bright Mountain Dental Clinic"
2. On the memo line of the check, please indicate that the donation is for "Bright Mountain Dental Clinic"
3. Please send your check to:

Our donation account:

Ladakh Medical Aid gGmbH
Eichendorffstr. 64
73734 Esslingen

IBAN: DE44611616960249995000
BIC: GENODES1NHB

All benefits are gratefully received and tax deductible.