Luncheon Registration

Donor Name

Name of Contact Person

Contact Email

Address

City

State

ZIP

Office Phone

Home/Cell Phone

Matching Gift Company

Name and Address for Invitations (If different than listed above)

Select Raffle Ticket(s), Individual Ticket, Table or Sponsorship Level

HHM Health is a non-profit community health center providing compassionate, accessible, quality healthcare.

Healing Hands Ministries, Inc. is a Federal Tort Claims Act (FTCA) deemed Facility
This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Dallas, Lake Highlands, Garland, Mesquite

HHM Health is a non-profit community health center providing compassionate, accessible, quality healthcare.

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