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 Long Island Heart Walk
Event ID10711
Participant ID
Participant Name
Team NameNYU LI - Smithtown
Team ID860919
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Long Island Heart Walk | 145 Pinelawn Road, Suite 240N | Melville, NY 11747