Summary: Electronic Debit Form
Matching Gift Company
The Electronic Debit Program offers a convenient way to have your gift automatically
transferred from your bank account to the University of Houston each month.
Complete this authorization form and then print, sign and mail it with a voided check to:
University of Houston, Donor and Alumni Records, P.O. Box 867, Houston, Texas
77001-0867. Please make a copy for your records.
A record of each charge will appear on your monthly bank statement, and you will receive an an-
nual official charitable tax receipt from UH, including all your donations made in the calendar year.
Anticipate the first debit from your account 30 to 45 days after we have received your authorization.
I'd like to use electronic debit to support the following college, department or program.
__ Gerald D. Hines College of Architecture (HC36137RA)
__ C.T. Bauer College of Business (HC36137RA1)
__ College of Education (HC36137RA2)
__ Cullen College of Engineering (HC12320RA)
__ Graduate College of Social Work (HC36137RA18)
__ The Honors College (HC17020RA)
__ Conrad N. Hilton College of Hotel and Restaurant Management (HC36137RA17)
__ UH Law Center (LAW AFRA)