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


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Thank you for supporting the University of Houston-Downtown. To make a one-time gift online using your credit card or bank account, please complete the following information and click "Confirm your gift" button at the bottom of the page.

To set up a Recurring Credit Card Gift or Electronic Debit Gift, download and complete the appropriate form and mail to the address at the bottom of the form.

Note: For persons wishing to make an online credit card donation from outside the United States, please
         contact UH's Donor and Alumni Records at 877-755-0559. Please be prepared to have your credit card
         number, expiration date and the 3 or 4 digit security code, along with your contact number should we
         need to contact you. Thank you.

Information provided on this form will be used by the university's Office of Development for the purpose of crediting you correctly for your gift. Personal information contained in the Office of Development's 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: boldfields are required.

Gift Information:

Please designate my gift to:

Amount

  $  

To make additional gifts, please select additional designations below.

  $  

  $  

  $  


Total Gift:

  $  

Is this a payment on a pledge?      Yes              No

Please let us know if you would like to designate your gift further (for example, to a department within a college or in honor or
memory of someone) or give us any other special instructions about your gift.




This Gift is:

In Memory of:

In Honor of:   


Personal Information:

Title:

First Name:
Middle Name:
Last Name:
Suffix:

Home Address:

Street:

City:

State/Province:

Zip:

Country:

Phone:

Email Address:

 Note: e-mail address is required if you wish to receive an electronic confirmation of your gift.

Date of Birth:

 (MM/DD/YYYY)

UHD Degree:

    

Grad Year:

Spouse's 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? Learn whether your employer has a matching gifts program. You may also contact your Human Resources Department directly.

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:
Matching Gift Administrator
Donor and Alumni Records
University of Houston
Houston, TX 77204-5035

Would you like to update your business information?                                               Yes   No  

Business Information:

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

Job Title:

Employer:

Street:

City:

State/Province:

Zip:

Country:

Phone:

Email address:


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

Planned Giving:


I have already included UHD in my:

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

 

 


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