Alumni Foundation Donation Page

Yes, I want to make a pledge to the Alumni Legacy Fund
Alumni Foundation-Houston School of Dentistry!

Please choose a donation option:

To make a Foundation Gift donation of a different amount, please complete the form below:

Recurring Information

In addition to $5,000.00 today, you will be charged $5,000.00 every 365 days starting on the next applicable future date until 1 successful transactions are processed for a total of $10,000.00.

Billing Information

Cardholder first name *

Cardholder last name *

Donor Name *

Billing Address *

Billing City *

Billing State *

Billing Zip *

Phone number

Today's payment amount: $5,000.00

Cancellation Policy +

The business maintains the right to, if necessary, initiate adjustments for any transactions credited/debited in error. Should cardholder wish to amend or cancel payment plan detailed below, they must submit written notice at least 10 days before payment date and understand that they are still liable for balance owed for services/products rendered.

I guarantee that I am the legal cardholder for this credit card, that I am legally authorized to enter into this billing agreement.

Checks payable to "Alumni Foundation-SOD"
Mail to: Alumni Foundation School of Dentistry
P.O. Box 56667
Houston, TX 77256

Fax to: 713.840.1328
utdbaa@comcast.net

Donations are tax-deductible under IRS code Section 501(c)(3) I.D. #76-0674375

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