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 Southern Tier Heart Walk
Event ID9819
Participant ID27312080
Participant NameValerie Short
Team NameGuthrie's Heart and Sole
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Southern Tier Heart Walk | 444 Liberty Ave, Suite 1300 | Pittsburgh, PA 15222