Donation requests must be submitted at least two months in advance via the form below. To fill out the donation request form, gather all necessary information beforehand.Make sure to complete all required fields accurately. 1. Complete Donation Box Application and Indemnification of the City. 2. Contact The University of Texas Health Science Center at Houston, Medical School at (713) 500-5603 and request that we send body donation forms to you. Please fill out the donation form for any in-kind items provided to RMHC Greater Houston. Form. Name. Thank you very much for making a donation to the Houston Area Women's Center. This form will help us properly record your generous gift. A reproduced copy of the non-appearing party's notarized signature is acceptable. Arrangement for pick-up: Time limit or exchange: Estimated Market Value: Name for Printed Material (if different than above):.