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 NJ Tri-County Heart Walk
Event ID10709
Participant ID26576824
Participant NameAnthony Staffa
Team NameTeam Staffa
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: NJ Tri-County Heart Walk | 4217 Park Place Court | Glen Allen, VA 23060