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 ID
Participant Name
Team NameIn memory of Gene Gilbo
Team ID846942
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