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 Dubuque Area Heart Walk
Event ID9945
Participant ID
Participant Name
Team NameMedical Associates Team
Team ID822606
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Dubuque Heart Walk | 1035 N Center Point Rd, Ste B | Hiawatha, IA 52233