TEXAS DIVISION PIN
ORDER FORM
PRICE: $22.00
Check or Money Order Only
Made Payable to “Texas Division Treasurer, UDC”
UDC Member Name _________________________________________
Mailing Address ____________________________________________
____________________________________________
Email Address ______________________________________________
Chapter Name, Number & City ________________________________
__________________________________________________________
Quantity _________ X $22.00 = _____________
Mail Order Form and Check to Division Vice President:
Betty Petruska
7600 Fm 2727
Terrell, Texas 75161-8266