Texas A&M University-Corpus Christi
Please select the payment option of your choice below
and fill in the requested information. Please mail or fax this form to:

Sonia Escamilla
Texas A&M University-Corpus Christi
Office of Advancement Services
6300 Ocean Drive
Corpus Christi Texas 78412
Phone: 361-825-2523
Fax:     361-825-5930
Email:   sonia.escamilla@tamucc.edu

I would like to make a gift/pledge in the amount of $_______________ and have it designated to the following area ___________________________________________. (For a list of areas to choose from, please see list). If you are making a pledge at this time, with no payment, please check box .

I would like to make my gift using cash, check, or credit card (for your convenience, we also offer online giving):

Cash                        Check (please make your check payable to TAMU-CC)

Credit Card:   Visa                        MasterCard                    Discover                   American Express

Card Number: __________________________________________   Expiration Date: ____________________

Signature: _____________________________________________   Date: ____________________________        

OR

I would like to make my gift through a monthly draft from my Checking/Savings bank account:

Total Gift Amount: _____________________________                                               

Monthly Draft Amount: _________________________                                   

Please enclose a voided check or deposit slip, or fill in the information below:

Bank Name:  ______________________________________________________________________________                                                                                                                                                          
City: _______________________________________   State: _________    Zip: _____________                                   
Account Type:  Checking                        Savings           

Account Number: _____________________________  Routing Number: _______________________________                                                                                                   (First nine numbers starting at the bottom right of your check)

I/We _________________________________________  authorize Texas A&M University-Corpus Christi to initiate debt entries to my/our bank account established at the banking institution indicated above. I/We would like the account to be charged in equal monthly installments on the 1st  or  15th of each month (please check one). Monthly installments will continue to be drafted until A&M-CC receives written notification from me/us requesting termination of the draft. The draft will be terminated in such time and manner as to afford A&M-CC a reasonable opportunity to act on it.

Signature: _________________________________________       Date: ______________________