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 Quad Cities Heart Walk
Event ID9946
Participant ID
Participant Name
Team NameNorth Scott Rotary
Team ID832938
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Quad Cities Heart Walk | 1035 N Center Point Rd, Ste B | Hiawatha, IA 52233