2026 Live Better Campaign: T-Shirt Order Form

Last Day to order: Tuesday, September 15th

1.First Name(Required.)
2.Last Name(Required.)
3.UH Email Address(Required.)
4.Cell Phone Number(Required.)
5.T-Shirt Size(Required.)
6.Payment Type(Required.)
7.
If paying via Venmo, pay $25 now and enter Venmo name below. Enter full name in NOTES. (Press down on QR code if ordering by phone and return to this screen to complete order form)
8.If paying via Zelle, pay $25 now and enter Zelle name below. Enter full name in NOTES. SEND payment to 210-394-1475. (Press down on QR code if ordering by phone and return to this screen to complete order form)
9.If paying Apple Pay type the number payment is being sent from.
Send payment to 210-394-1475. Please include your full name when sending.
10.I agree to the following:(Required.)