Give Online Now I would like to make: a new one time or recurring gift a payment on an existing pledge * Frequency: One time Weekly Monthly Quarterly Annual Recurring Amount: $ Start Date: End Date: Your recurring gift will be split between multiple colleges and/or programs accordingly below. * Please designate my gift to: Please count my gift towards the following Mr./Ms. Fiesta candidate (All donations support the Mr./Mrs. Frontier Fiesta Scholarship Fund): Ms. Natalia Ascencio-Arizabalo-Alpha Chi OmegaMs. Demi Gratil-Phi Sigma RhoMs. Melissa Munoz -Delta Zeta SororityMr. Adam Reichstein-Sigma Phi EpsilonMr. Quinton Rohrbough-Sigma Alpha EpsilonMr. Christian Santillan-Delta UpsilonMs. Laura Trapani-Delta Gamma $ Please count my gift towards Frontier Fiesta General Operations, supporting the building of Fiesta City and free programming for attendees including carnival rides, inflatables, and Family Fun Day attractions. $ To make a donation, please designate a fund below: Frontier Fiesta Operations Fund * Supports the building of Fiesta City, Amusement Rides, and Family Fun Day $ Frontier Fiesta Scholarship Fund * Scholarships for incoming students, current undergraduate and graduate students $ Total gift amount: $ Please let us know if you would like to designate your gift further or give us any other special instructions about your gift. This gift is in memory of: This gift is in honor of: Donor Information Title: Please choose... Airman First Class Baron Brigadier General Captain Colonel Dean Doctor Father First Lieutenant General Governor Judge Lieutenant Lieutenant Colonel Lieutenant Commander Major Miss Mr. Mrs Ms. Professor Rabbi Sargeant Sargeant Major Sister Sister The Honorable The Most Reverend The Reverend * First name: Middle name: * Last name: Suffix: * Address: * City: * State/Province: * Zip code: * Country: * Phone number: * Email address: Date of birth: Spouse's full name: Status: UH Alumnus UH Faculty/Staff UH Student Neither UH degree: Graduation year: * Peoplesoft ID: 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. Do you or your spouse work for a matching company? Yes No I work for a matching gift company Company name: My spouse works for a matching gift company Spouse's company name: Send your completed matching gift form to: Matching Gift Administrator Gift Processing and Records University of Houston Houston, TX 77204-5035 Business Information Please help us keep your record up to date. Would you like to update your business information? Yes No Job title: Employer: Address: City: State/Province: Zip/Postal code: Country: Phone number: Email address: Planned Giving Have you already or would you like to include UH in your estate planning? Yes No I have already included UH as a beneficiary of my: Will Trust Life Insurance Policy Retirement Assets Annuity IRA Please send me information for the following: Bequest Language Membership in The Tempore Legacy Society Ways to Make Planned Gifts Charitable Gift Annuities Estate Planning Kit 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.