Step 1: Write second polynomial below the first one. Making sure like terms are lined up.
$$ \begin{array}{lrrr} & 4x^2 & -6x & 7 \\ \color{blue}{ + } & -19x^2 & -15x & -18 \\ \hline \end{array} $$Step 2: Combine like terms (add each column):
$$ \begin{array}{lrrr} & 4x^2 & -6x & 7 \\ \color{blue}{ + } & -19x^2 & -15x & -18 \\ \hline & -15x^2 & -21x & -11 \end{array} $$