Donation Form

Donation Information

Payment Amount
(Enter the amount you wish to charge to your card today or the amount you wish to have billed monthly):

Type of Donation

One Time DonationRecurring Donation

Total Amount of Pledge:

This is in honor of:

Student Information

Student Name

Grade Level

1st T-Shirt Size

2nd Student Name

Grade Level

2nd T-Shirt Size

3rd Student Name

Grade Level

3rd T-Shirt Size

What inspired you to make a gift?

Is this gift anonymous?

Contact Information

First Name

Last Name

Please type the name below exactly as you would like your name to appear on the website, newsletter, and or donor wall?

Recognition Name

Business Name

Matching Gift? (My company will match my gift)

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us: Humble ISD Education Foundation •• 10203 Birchridge Drive, Humble, TX 77338 •• 281.641.8140 ••[email protected]