☰
Houston Police Retired Officers Association

HPROA Donation Form

    Your donation is an important contribution to assisting retired Houston Police Officers in many areas, including:
  • Loaning of no-cost medical equipment for those retirees and their family members who cannot afford these important items
  • Efforts on the state and local levels to retain the ever-eroding pension benefits
  • Working with City officials in order to retain affordable healthcare insurance and Medicare premiums
  • Funeral-service presentations (solid brass plaque and presentation binder)
  • Immediate-need funeral assistance for those without funding
  • And much more.

NOTES:

  • Please see additional Donation Information HERE.
  • If paying by check, please print this form, complete the “Donor” information, and Mail to:
    HOUSTON POLICE RETIRED OFFICERS ASSOCIATION
    P.O. BOX 130787,
    HOUSTON, TX  77219
DONATION AMOUNT  *
$25 $50 $100 $200      Other-Specify Amount $

DONOR INFORMATION
Name*

Organization / Company
    Telephone

E-mail Address*

REASON FOR DONATION (Please select one)

  • In memory of:  (a letter will be sent to the family on your behalf)
  • I just want to assist retired Houston Police Officers by donating to the HPROA
  • HPROA's PAC (Political Action Committee)


    (This is a PAC donation requirement per Texas Ethics Commission)
  • Other reason (for example: Family Assistance Committee, etc.)
    (please specify in comments below)

    Comments (Optional)

Donation Total: $

If paying by check, please complete and print this form and Mail to:  

HOUSTON POLICE RETIRED OFFICERS ASSOCIATION
P.O. BOX 130787, HOUSTON, TX  77219

You will be prompted to print this form upon submission.

Method of Payment:
 Check    Credit / Debit Card

Credit / Debit Card Information(all fields required)
Cardholder's First Name *

Cardholder's Last Name *

Cardholder's Billing Street Address *

Billing City *

Billing State *
(2-character state code)
Billing Zip Code *

Billing Country *
(2-character country code)
Card Type *

Credit Card Number *

Exp Date *
(e.g.: 05/2024)
Security Code *

(Please click only once)