University of Houston Clear Lake



Yes! I want to make a gift now using my card and this secure form. 

Please complete the following information and click the "Confirm your gift" button at the bottom of the page. Thank you for supporting UH-Clear Lake.

Information provided on this form will be used by the University for the purpose of crediting you correctly for your gift. Personal information contained in these records is used only for university business. We are committed to protecting your privacy. Our secure server software (SSL) is the industry standard and among the best software available today for secure commerce transactions.

Note: * bold fields are required.

If you would like to split your recurring gift between multiple colleges and/or programs, please specify below.

Gift Information
* Designate my gift to a UHCL priority:


Total Gift:


Is this a payment on a pledge? Yes No
To specify a designation not found above or to detail instructions,
please use text box and write in additional information.
This Gift is:
In Memory of:
In Honor of:   

To make a recurring gift using your credit card, download this form and mail to:
Gift Processing and Records
P.O. Box 867
Houston, Texas 77001-0867

  Personal Information

* Title

* First Name
Middle Name
* Last Name

Home Address

* Street
* City
* State/

* Phone
E-mail Address  Note: E-mail address is required if you wish to receive an electronic confirmation of your gift.
Date of Birth


UHCL Degree

Grad Year

Full Name

Do you or your spouse work for a matching company?
Yes  No 

Matching Gifts

Did you know you can double or triple your gift if you or your spouse work
for a company with a matching gift program? Please contact your Human Resources
department to find out how simple matching can be.

I work for a matching gift company
Company Name
My spouse works for a matching gift company
Company Name
Send your completed matching gift form to: UH-Clear Lake

Office of University Advancement

2700 Bay Area Blvd

Houston, Texas 77058

Would you like to update your business information?
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Business Information

Please help us keep your record up to date by completing the following:

Job Title








E-mail address

Have you already or would you like to include UH-Clear Lake in
your estate planning?
Yes  No 

Planned Giving

I have already included UH-Clear Lake in my:

Will Trust Arrangement Insurance Policy Gift Annuity
Please send me information about estate planning.

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