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 Arizona Heart Walk
Event ID9863
Participant ID25471910
Participant NameJose Valenzuela
Team NameSynCardia Systems
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Southern Arizona Heart Walk | 1910 W University Dr, Ste 205 | Tempe, AZ 85281