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 Northeast PA Heart Walk
Event ID10083
Participant ID
Participant Name
Team NameWayne Memorial Warriors
Team ID831898
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Northeast PA Heart Walk | 4250 Crums Mill Road | Harrisburg, PA 17112