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 North Country Heart Walk
Event ID9821
Participant ID28318470
Participant NameDiane Freeman
Team NameSamaritan Wound Care Center
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: North Country Heart Walk | 444 Liberty Ave, Ste 1300 | Pittsburgh, PA 15222