' Make a customized font and return its handle.
Private Function CustomFont(ByVal hgt As Long, ByVal wid As _
    Long, ByVal escapement As Long, ByVal orientation As _
    Long, ByVal wgt As Long, ByVal is_italic As Long, ByVal _
    is_underscored As Long, ByVal is_striken_out As Long, _
    ByVal face As String) As Long
Const CLIP_LH_ANGLES = 16   ' Needed for tilted fonts.

    CustomFont = CreateFont( _
        hgt, wid, escapement, orientation, wgt, _
        is_italic, is_underscored, is_striken_out, _
        0, 0, CLIP_LH_ANGLES, 0, 0, face)
End Function

Call BeginPath, write the text, and call EndPath to convert the text into a graphic path. Then call SetWindowRgn to restrict the Form/PictureBox to the region. Now anything you draw will be clipped to fit the region. Draw the lines through the text.

Use SelectObject to restore the original font and DeleteObject to delete the new font, freeing up its graphic resources. This is impoertant. If you don't do this, the system may run out of resources.

Private Sub ShapePicture()
Const TEXT1 = "FLOWERS"

Dim new_font As Long
Dim old_font As Long
Dim hRgn As Long
Dim Y As Single
Dim r As Single
Dim dr As Single

    ' Prepare the PictureBox.
    ScaleMode = vbPixels
    Picture1.AutoRedraw = True
    Picture1.ScaleMode = vbPixels
    Picture1.BorderStyle = vbBSNone
    Picture1.BackColor = vbBlue
    Picture1.ForeColor = vbBlack
    Picture1.DrawWidth = 1

    ' Make a big font.
    new_font = CustomFont(250, 65, 0, 0, _
        FW_BOLD, False, False, False, _
        "Times New Roman")
    old_font = SelectObject(Picture1.hdc, new_font)

    ' Make the region.
    BeginPath Picture1.hdc
    Picture1.CurrentX = (ScaleWidth - _
        Picture1.TextWidth(TEXT1)) / 2
    Picture1.CurrentY = -40
    Picture1.Print TEXT1
    EndPath Picture1.hdc
    hRgn = PathToRegion(Picture1.hdc)

    ' Constrain the PictureBox to the region.
    SetWindowRgn Picture1.hWnd, hRgn, False

    ' Restore the original font.
    SelectObject hdc, old_font

    ' Free font resources (important!)
    DeleteObject new_font

    ' Draw lines through the PictureBox.
    dr = 255 / (Picture1.ScaleHeight / 3)
    r = 0
    For Y = 0 To Picture1.ScaleHeight Step 3
        Picture1.Line (0, Y)-Step(Picture1.ScaleWidth, 0), _
            RGB(r, 0, 0)
        r = r + dr
    Next Y
End Sub