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 Central Iowa Heart Walk
Event ID9949
Participant ID26233019
Participant NameMelissa Johnson
Team NameAudi Des Moines
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Central Iowa Heart Walk | 8805 Chambery Blvd #300 PMB 126 | Johnston, IA 50131