GHMHC
CLUB PIN ORDER FORM
"In Memory of
Becky Walker"
We now have our own Club Pin.  
Something you will be proud to wear.  
Crafted with the letters GHMHC over the State of Texas
shape. Beautiful silver and gold tones, with a blue stone
mounted over the "Houston" area.

The money received for this club pin has been set up to
help with the funding of our Youth Scholarship Fund.
The purchase price is $35.00 each.
If you wish to purchase,
please complete the form below.
Mail GHMHC Pin to:
Last Name
First Name
Address
Address
City, State, ZIP
Phone
Number of Pins @ $35 each
Submit this form with payment
($35 x number of pins ordered)
payable to GHMHC.

GHMHC
P.O. BOX 1120
COLUMBUS, TX  78934