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 ID
Participant Name
Team NameMyriad Advisor Solutions / Continuum Advantage
Team ID844675
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