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 Philadelphia Heart Walk
Event ID10783
Participant ID19599258
Participant NameBrian Berson
Team NameBrian Berson Hard Hats with Heart Team
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Philadelphia Heart Walk | 1617 JFK Blvd, Ste 700 | Philadelphia, PA 19103