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 SE Wisconsin Heart & Stroke Walk/5k Run
Event ID10706
Participant ID28582069
Participant NameTiffany Palmore
Team NameI Aorta Like You
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: SE Wisconsin Walk/Run | 275 W Wisconsin Ave, Ste 230 | Milwaukee, WI 53203