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 Syracuse Heart Walk
Event ID9815
Participant ID23640152
Participant NameRick/Ruthie Della Pelle
Team NameWe Love NikkyBoots
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Syracuse Heart Walk | 444 Liberty Ave, Suite 1300 | Pittsburgh, PA 15222