Please display my name on the participant's public donor wall as:
Please do not display my name on the donor wall.
Participant Information
Event Name2024 Phoenix Heart Walk
Event ID9849
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Phoenix Heart Walk | 1910 W University Dr., Suite 205 | Tempe, AZ 85281